Detiberiis, Alan

Detiberiis, Alan is an sole proprietor health care provider with primary practice located at 1205 W Warm Springs Rd Ste 100 , Henderson NV 89014-8741. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Nursing Service Related Providers / Religious Nonmedical Practitioner, Allopathic & Osteopathic Physicians / Clinical Informatics. Allopathic & Osteopathic Physicians / Clinical Informatics is his primary health care specialty. Detiberiis, Alan can be contacted via phone (702) 265-3033.

Contact Information

Primary practice address
1205 W Warm Springs Rd Ste 100 Henderson NV 89014-8741
Phone: (702) 265-3033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X D-16-1125-1121-A Zz
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X NA Nevada
Allopathic & Osteopathic Physicians / Clinical Informatics 207ZC0008X 405787 Nevada

Profile Details

NPI number 1679097976
LBN Legal business name Detiberiis, Alan
Credentials A.PATH, DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2017
Last updated Jan 20th, 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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