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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1871562652 NPPES
Nevada Other 770589284 TAX ID
Nevada MEDICAID 002019002 TAX ID
Nevada Other 770003058 TAX ID

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