Dudek, John Joseph

Dudek, John Joseph is an sole proprietor health care provider with primary practice located at 2020 Goldring Ave #506, Las Vegas NV 89106-4060. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Urology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Dudek, John Joseph can be contacted via phone (702) 382-7055.

Contact Information

Primary practice address
2020 Goldring Ave #506 Las Vegas NV 89106-4060
Phone: (702) 382-7055
Fax: (702) 382-9935
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Urology 163WU0100X 3293 Nevada
Allopathic & Osteopathic Physicians / Urology 208800000X 3293 Nevada

Profile Details

NPI number 1316904055
LBN Legal business name Dudek, John Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Jul 7th, 2009 - about 17 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 1316904055 NPPES
Nevada MEDICAID 002002008

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