Ricciardi, Dominic L.

Ricciardi, Dominic L. is an sole proprietor health care provider with primary practice located at 5572 S Fort Apache Rd Ste 110 , Las Vegas NV 89148-3605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obesity Medicine, which is considered as his primary health care specialty. Ricciardi, Dominic L. can be contacted via phone (702) 492-8281.

Contact Information

Primary practice address
5572 S Fort Apache Rd Ste 110 Las Vegas NV 89148-3605
Phone: (702) 492-8281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 11899 Nevada

Profile Details

NPI number 1720198914
LBN Legal business name Ricciardi, Dominic L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Oct 7th, 2019 - about 5 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 1720198914 NPPES
Nevada MEDICAID 100511080

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