Cruvant, Ethan Milton

Cruvant, Ethan Milton is an individual health care provider with primary practice located at 8205 W. Warm Springs Rd. Suite 110, Las Vegas NV 89113. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Cruvant, Ethan Milton can be contacted via phone (702) 735-8734.

Contact Information

Primary practice address
8205 W. Warm Springs Rd. Suite 110 Las Vegas NV 89113
Phone: (702) 735-8734
Fax: (702) 735-2726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5854 Nevada

Profile Details

NPI number 1740287192
LBN Legal business name Cruvant, Ethan Milton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jun 14th, 2011 - about 15 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 1740287192 NPPES
Nevada MEDICAID 002019008
Nevada Other 110227382
Nevada Other 880344806A002

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