Jacob, Shushan
Jacob, Shushan is an sole proprietor health care provider with primary practice located at 6900 N Pecos Rd , North Las Vegas NV 89086-4400. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is her primary health care specialty. Jacob, Shushan can be contacted via phone (702) 791-9000.Contact Information
Primary practice address
6900 N Pecos Rd
North Las Vegas NV 89086-4400
Phone: (702) 791-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | N7548 | Texas |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | N7548 | Texas |
Profile Details
| NPI number | 1114119542 |
|---|---|
| LBN Legal business name | Jacob, Shushan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Feb 27th, 2025 - about last year |
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 | 1114119542 | NPPES |
| Texas | MEDICAID | 286943004 | |
| Texas | MEDICAID | 286943005 |
Popular Providers
-
Curtis, Richard D
1715 Eagle Harbor Parkway Suite A, Fleming Island FL 32003-4323 -
Duong, Tong C.
1702 Ohio Ave , Lynn Haven FL 32444-4290 -
Esplin, Vermon S
444 Hospital Way Ste 710 , Pocatello ID 83201-2745 -
Hijazi, Bishr
4982 South Rainbow Blvd Unit #100, Las Vegas NV 89118 -
Evans, Stephen B
26908 Detroit Rd , Westlake OH 44145-2398 -
Leathers, Michael W
2801 K St Suite 330, Sacramento CA 95816-5120 -
Tracy, Charles Alan
40 Medical Park Suite 200, Wheeling WV 26003-6392 -
Malinowski, Rodney W
1040 Division St , Mauston WI 53948-1931