Larocco, Dominic J.

Larocco, Dominic J. is an individual health care provider with primary practice located at 2350 W Horizon Ridge Pkwy , Henderson NV 89052-5075. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Larocco, Dominic J. can be contacted via phone (702) 564-8556.

Contact Information

Primary practice address
2350 W Horizon Ridge Pkwy Henderson NV 89052-5075
Phone: (702) 564-8556
Fax: (702) 564-4485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 364 Nevada

Profile Details

NPI number 1649371618
LBN Legal business name Larocco, Dominic J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Dec 11th, 2013 - about 11 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 1649371618 NPPES
Nevada MEDICAID 002402360

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