Jin, Pengfeng Jack

Jin, Pengfeng Jack is an sole proprietor health care provider with primary practice located at 1800 W Charleston Blvd , Las Vegas NV 89102-2329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Jin, Pengfeng Jack can be contacted via phone (702) 308-7531.

Contact Information

Primary practice address
1800 W Charleston Blvd Las Vegas NV 89102-2329
Phone: (702) 308-7531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X LL4184 Nevada
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1528828282
LBN Legal business name Jin, Pengfeng Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2024
Last updated Jul 8th, 2024 - about 5 months 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.

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