Porreca, Eugene G
Porreca, Eugene G is an individual health care provider with primary practice located at 7106 Smoke Ranch Rd Suite 120, Las Vegas NV 89128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Porreca, Eugene G can be contacted via phone (702) 869-4554.Contact Information
Primary practice address
7106 Smoke Ranch Rd Suite 120
Las Vegas NV 89128
Phone: (702) 869-4554
Fax: (702) 796-9225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5987 | Nevada |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 5987 | Nevada |
Profile Details
| NPI number | 1871562652 |
|---|---|
| LBN Legal business name | Porreca, Eugene G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jun 26th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871562652 | NPPES |
| Nevada | Other | 770589284 | TAX ID |
| Nevada | MEDICAID | 002019002 | TAX ID |
| Nevada | Other | 770003058 | TAX ID |
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