Vicuna, Joselo Atienza

Vicuna, Joselo Atienza is an individual health care provider with primary practice located at 2365 Reynolds Ave 211, North Las Vegas NV 89030-7276. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Vicuna, Joselo Atienza can be contacted via phone (702) 399-1287.

Contact Information

Primary practice address
2365 Reynolds Ave 211 North Las Vegas NV 89030-7276
Phone: (702) 399-1287
Fax: (702) 649-8064
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 3370 Nevada

Profile Details

NPI number 1033201082
LBN Legal business name Vicuna, Joselo Atienza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jan 25th, 2012 - about 12 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 1033201082 NPPES
Nevada MEDICAID 1033201082

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