Mujica Trenche, Samuel Antonio
Mujica Trenche, Samuel Antonio is an sole proprietor health care provider with primary practice located at 3265 Rosanna St , Las Vegas NV 89117-3137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mujica Trenche, Samuel Antonio can be contacted via phone (702) 205-1948.Contact Information
Primary practice address
3265 Rosanna St
Las Vegas NV 89117-3137
Phone: (702) 205-1948
Fax: (702) 876-9181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5456 | Nevada |
Profile Details
| NPI number | 1366444937 |
|---|---|
| LBN Legal business name | Mujica Trenche, Samuel Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jan 17th, 2008 - about 18 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 | 1366444937 | NPPES |
| Nevada | MEDICAID | 002002938 |
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