Iacoboni, Stephen J
Iacoboni, Stephen J is an individual health care provider with primary practice located at 3006 S Maryland Pkwy Ste 205 , Las Vegas NV 89109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Iacoboni, Stephen J can be contacted via phone (702) 735-7154.Contact Information
Primary practice address
3006 S Maryland Pkwy Ste 205
Las Vegas NV 89109
Phone: (702) 735-7154
Fax: (702) 735-7153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | M8193 | Idaho |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD00024072 | Washington |
Profile Details
| NPI number | 1497706162 |
|---|---|
| LBN Legal business name | Iacoboni, Stephen J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | May 18th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497706162 | NPPES |
| Nevada | MEDICAID | 1497706162 | |
| Nevada | Other | 15296 | |
| Nevada | MEDICAID | 805994300 | |
| Nevada | MEDICAID | 1497706162 |
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