Ponzo, Nicolas

Ponzo, Nicolas is an individual health care provider with primary practice located at 9163 W Flamingo Rd Suite 120, Las Vegas NV 89147-6457. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Ponzo, Nicolas can be contacted via phone (702) 248-1169.

Contact Information

Primary practice address
9163 W Flamingo Rd Suite 120 Las Vegas NV 89147-6457
Phone: (702) 248-1169
Fax: (702) 869-9203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X NV01258-C Nevada

Profile Details

NPI number 1659402360
LBN Legal business name Ponzo, Nicolas
Credentials MSW, M.ED, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 17 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 1659402360 NPPES
Nevada Other NV01258-C STATE LICENSE

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