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
Fax: (877) 721-6912
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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 1083791313 NPPES
Nevada MEDICAID 100510737
Nevada Other 11656110
Nevada Other CC6493

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