Johanna S. Fricke, M.D., Llc

LBN: Johanna S. Fricke, M.D., Llc
Johanna S. Fricke, M.D., Llc is an health care organization with primary practice located at 311 N Buffalo Dr Suite B, Las Vegas NV 89145-0375. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is the primary health care specialty. Johanna S. Fricke, M.D., Llc can be contacted via phone (702) 877-2520, or through Fricke, Johanna via phone (702) 804-9065.

Contact Information

Primary practice address
311 N Buffalo Dr Suite B Las Vegas NV 89145-0375
Fax: (702) 877-2521
Website:
Authorized official contact:
Name: Fricke, Johanna Doctor of Medicine (MD)

Profile Details

NPI number 1790108264
LBN Legal business name Johanna S. Fricke, M.D., Llc
DBA Doing business as
Authorized official Fricke, Johanna Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2014
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790108264 NPPES
Nevada Other 32876 MEDICARE ID-TYPE UNSPECIFIED/MEDICARE
Nevada MEDICAID 002002223 MEDICARE ID-TYPE UNSPECIFIED/MEDICARE
Nevada Other CS09750 MEDICARE ID-TYPE UNSPECIFIED/MEDICARE
Nevada Other 003102223 MEDICARE ID-TYPE UNSPECIFIED/MEDICARE

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