Maendel, Eberhard Johannes
Maendel, Eberhard Johannes is an individual health care provider with primary practice located at 630 S Rancho Dr Suite E, Las Vegas NV 89106-4873. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Maendel, Eberhard Johannes can be contacted via phone (702) 258-1001.Contact Information
Primary practice address
630 S Rancho Dr Suite E
Las Vegas NV 89106-4873
Phone: (702) 258-1001
Fax: (702) 258-3455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 569 | Nevada |
Profile Details
| NPI number | 1639171283 |
|---|---|
| LBN Legal business name | Maendel, Eberhard Johannes |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Mar 15th, 2016 - about 10 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 | 1639171283 | NPPES |
| Nevada | Other | P00436130 | RAILROAD MEDICARE PTAN |
| Nevada | Other | P00852334 | RAILROAD MEDICARE PTAN |
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