Dorfman, Gary R.

Dorfman, Gary R. is an individual health care provider with primary practice located at 7135 W Sahara Ave Suite 201, Las Vegas NV 89117-2873. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Dorfman, Gary R. can be contacted via phone (702) 878-2455.

Contact Information

Primary practice address
7135 W Sahara Ave Suite 201 Las Vegas NV 89117-2873
Phone: (702) 878-2455
Fax: (702) 878-4875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E1101 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 12LL01 Nevada

Profile Details

NPI number 1164584942
LBN Legal business name Dorfman, Gary R.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jan 16th, 2017 - about 9 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 1164584942 NPPES
Nevada MEDICAID 1164584942

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