Wibisono, Yudi

Wibisono, Yudi is an individual health care provider with primary practice located at 6900 N Pecos Rd , North Las Vegas NV 89086-4400. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Wibisono, Yudi can be contacted via phone (702) 791-9000.

Contact Information

Primary practice address
6900 N Pecos Rd North Las Vegas NV 89086-4400
Phone: (702) 791-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MRO-1647 Idaho
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X MRO-1647 Idaho
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 10964114-1204 Utah
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X OP61182777 Washington

Profile Details

NPI number 1740711134
LBN Legal business name Wibisono, Yudi
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2017
Last updated Oct 13th, 2022 - about 2 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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