Peralta, Fernan
Peralta, Fernan is an sole proprietor health care provider with primary practice located at 323 N Maryland Pkwy , Las Vegas NV 89101-3130. He recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Peralta, Fernan can be contacted via phone (702) 385-3330.Contact Information
Primary practice address
323 N Maryland Pkwy
Las Vegas NV 89101-3130
Phone: (702) 385-3330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 16258 | Nevada |
Profile Details
| NPI number | 1962913285 |
|---|---|
| LBN Legal business name | Peralta, Fernan |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2017 |
| Last updated | Oct 13th, 2017 - 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 | 1962913285 | NPPES |
| Nevada | Other | LPN16258 | LPN LICENSE |
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