Faylona, Edgardo Averion
Faylona, Edgardo Averion is an individual health care provider with primary practice located at 2300 W Charleston Blvd , Las Vegas NV 89102-2149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Faylona, Edgardo Averion can be contacted via phone (702) 724-8787.Contact Information
Primary practice address
2300 W Charleston Blvd
Las Vegas NV 89102-2149
Phone: (702) 724-8787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 6872 | Nevada |
Profile Details
| NPI number | 1083611362 |
|---|---|
| LBN Legal business name | Faylona, Edgardo Averion |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Nov 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083611362 | NPPES |
| Nevada | MEDICAID | 002019348 | |
| Nevada | Other | 830003909 | |
| Nevada | MEDICAID | 453457 |
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