Tibaldi, Nicholas

Tibaldi, Nicholas is an individual health care provider with primary practice located at 2316 W Charleston Blvd Suite 280, Las Vegas NV 89102-2149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Tibaldi, Nicholas can be contacted via phone (702) 877-8330.

Contact Information

Primary practice address
2316 W Charleston Blvd Suite 280 Las Vegas NV 89102-2149
Phone: (702) 877-8330
Fax: (702) 877-8312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 19721 West Virginia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35065820 Ohio
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 11661 Nevada

Profile Details

NPI number 1760478564
LBN Legal business name Tibaldi, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Feb 14th, 2014 - about 11 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 1760478564 NPPES
Nevada MEDICAID 1760478564
Nevada MEDICAID 0151302
Nevada MEDICAID 6000016000

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