Vera, Ada Iris

Vera, Ada Iris is an sole proprietor health care provider with primary practice located at 3000 W Charleston Blvd Ste 6 , Las Vegas NV 89102-1940. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Vera, Ada Iris can be contacted via phone (702) 878-5252.

Contact Information

Primary practice address
3000 W Charleston Blvd Ste 6 Las Vegas NV 89102-1940
Fax: (702) 878-1963
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0016 Nevada

Profile Details

NPI number 1902942725
LBN Legal business name Vera, Ada Iris
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jan 18th, 2018 - about 6 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 1902942725 NPPES
Nevada MEDICAID 1902942725

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