Bomsztyk, Elan Dahl

Bomsztyk, Elan Dahl is an individual health care provider with primary practice located at 2020 Palomino Lane Ste # 100, Las Vegas NV 89106-4894. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bomsztyk, Elan Dahl can be contacted via phone (702) 759-8600.

Contact Information

Primary practice address
2020 Palomino Lane Ste # 100 Las Vegas NV 89106-4894
Phone: (702) 759-8600
Fax: (702) 384-1815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15430 Nevada
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1477714525
LBN Legal business name Bomsztyk, Elan Dahl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2008
Last updated Feb 3rd, 2015 - about 10 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 1477714525 NPPES
Nevada MEDICAID 1477714525
Nevada Other P01374967
Nevada MEDICAID 1477714525
Nevada Other P01374895

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