Weidenfeld, Peter L

Weidenfeld, Peter L is an individual health care provider with primary practice located at 3061 S Maryland Pkwy Suite 102, Las Vegas NV 89109-2298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Weidenfeld, Peter L can be contacted via phone (702) 731-2888.

Contact Information

Primary practice address
3061 S Maryland Pkwy Suite 102 Las Vegas NV 89109-2298
Phone: (702) 731-2888
Fax: (702) 696-9289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 8964 Nevada

Profile Details

NPI number 1407834435
LBN Legal business name Weidenfeld, Peter L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jan 11th, 2013 - 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 1407834435 NPPES
Nevada Other NV8572 BLUE
Nevada MEDICAID 200290223 BLUE
Nevada Other 300099460 BLUE

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