Wishnev, Stephanie A

Wishnev, Stephanie A is an individual health care provider with primary practice located at 6020 S. Jones Blvd , Las Vegas NV 89118-2310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Wishnev, Stephanie A can be contacted via phone (702) 739-6467.

Contact Information

Primary practice address
6020 S. Jones Blvd Las Vegas NV 89118-2310
Fax: (702) 733-1689
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 8168 Nevada

Profile Details

NPI number 1043219686
LBN Legal business name Wishnev, Stephanie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jul 6th, 2023 - about last year

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 1043219686 NPPES
Nevada MEDICAID 002002280

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