Pederson, Christopher A
Pederson, Christopher A is an sole proprietor health care provider with primary practice located at 401 Royalton Dr , Las Vegas NV 89144-0824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Pederson, Christopher A can be contacted via phone (702) 289-4562.Contact Information
Primary practice address
401 Royalton Dr
Las Vegas NV 89144-0824
Phone: (702) 289-4562
Fax: (877) 721-6912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 7546 | Nevada |
Profile Details
| NPI number | 1083791313 |
|---|---|
| LBN Legal business name | Pederson, Christopher A |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jan 14th, 2016 - about 8 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 | 1083791313 | NPPES |
| Nevada | MEDICAID | 100510737 | |
| Nevada | Other | 11656110 | |
| Nevada | Other | CC6493 |
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