Bou-Daher, Peter Antoune Joseph

Bou-Daher, Peter Antoune Joseph is an individual health care provider with primary practice located at 5785 Centennial Center Blvd. , Las Vegas NV 89149. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bou-Daher, Peter Antoune Joseph can be contacted via phone (702) 383-2000.

Contact Information

Primary practice address
5785 Centennial Center Blvd. Las Vegas NV 89149
Phone: (702) 383-2000
Fax: (775) 751-2323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1069 Nevada

Profile Details

NPI number 1285821470
LBN Legal business name Bou-Daher, Peter Antoune Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Mar 13th, 2022 - about 4 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 1285821470 NPPES
Nevada MEDICAID 1285821470

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