Fajardo, Noel R

Fajardo, Noel R is an sole proprietor health care provider with primary practice located at 3901 S Maryland Pkwy , Las Vegas NV 89119-7537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fajardo, Noel R can be contacted via phone (702) 982-7240.

Contact Information

Primary practice address
3901 S Maryland Pkwy Las Vegas NV 89119-7537
Phone: (702) 982-7240
Fax: (702) 952-5444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 44964 Minnesota
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 12053 Nevada

Profile Details

NPI number 1255305520
LBN Legal business name Fajardo, Noel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated May 30th, 2024 - about 2 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 1255305520 NPPES
Minnesota MEDICAID 341790500
Minnesota MEDICAID 100511073

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