Erisman, Allen Alva

Erisman, Allen Alva is an individual health care provider with primary practice located at 3100 N Tenaya Way , Las Vegas NV 89128-0436. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Erisman, Allen Alva can be contacted via phone (972) 915-3600.

Contact Information

Primary practice address
3100 N Tenaya Way Las Vegas NV 89128-0436
Phone: (972) 915-3600
Fax: (972) 915-3636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1135 Nevada
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 1135 Nevada
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02002084A Indiana

Profile Details

NPI number 1245233485
LBN Legal business name Erisman, Allen Alva
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 1st, 2014 - about 11 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 1245233485 NPPES
Nevada Other CC7823 BCBS
Nevada MEDICAID 100502406 BCBS

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