Pingol, Ellaine Sese

Pingol, Ellaine Sese is an individual health care provider with primary practice located at 10001 S Eastern Ave Ste 210 Henderson, Henderson NV 89052-3908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pingol, Ellaine Sese can be contacted via phone (702) 837-4397.

Contact Information

Primary practice address
10001 S Eastern Ave Ste 210 Henderson Henderson NV 89052-3908
Phone: (702) 837-4397
Fax: (702) 837-7426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10301 Nevada

Profile Details

NPI number 1679576060
LBN Legal business name Pingol, Ellaine Sese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 4th, 2010 - about 14 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 1679576060 NPPES
Nevada MEDICAID 002018781

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