Kopecky, Edward L

Kopecky, Edward L is an individual health care provider with primary practice located at 2450 W Charleston , Las Vegas NV 89102. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kopecky, Edward L can be contacted via phone (702) 877-8660.

Contact Information

Primary practice address
2450 W Charleston Las Vegas NV 89102
Phone: (702) 877-8660
Fax: (702) 258-1322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA 00027 Nevada

Profile Details

NPI number 1154392819
LBN Legal business name Kopecky, Edward L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated May 3rd, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154392819 NPPES
Nevada MEDICAID 2402003

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