Panuncialman, Luis

Panuncialman, Luis is an sole proprietor health care provider with primary practice located at 6900 Pecos Rd , North Las Vegas NV 89086-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Panuncialman, Luis can be contacted via phone (702) 791-9000.

Contact Information

Primary practice address
6900 Pecos Rd North Las Vegas NV 89086-4400
Fax: (702) 791-9110
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 10313 Nevada

Profile Details

NPI number 1639180334
LBN Legal business name Panuncialman, Luis
Credentials M.D.,F.A.C.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Jul 28th, 2014 - about 10 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 1639180334 NPPES
Nevada MEDICAID 002018779

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