Wastek, Gregory J
Wastek, Gregory J is an sole proprietor health care provider with primary practice located at 6850 N Durango Dr Suite 100, Las Vegas NV 89149-4595. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Wastek, Gregory J can be contacted via phone (702) 589-3100.Contact Information
Primary practice address
6850 N Durango Dr Suite 100
Las Vegas NV 89149-4595
Phone: (702) 589-3100
Fax: (702) 851-7725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 6905 | Nevada |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G59991 | California |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 6905 | Nevada |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | G59991 | California |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 6905 | Nevada |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | G55591 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 6905 | Nevada |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | G59991 | California |
Profile Details
| NPI number | 1508833930 |
|---|---|
| LBN Legal business name | Wastek, Gregory J |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Feb 1st, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508833930 | NPPES |
| Nevada | Other | 070014199 | RAILROAD MEDICARE |
| Nevada | MEDICAID | 2019476 | RAILROAD MEDICARE |
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