Pena, Roehl
Pena, Roehl is an individual health care provider with primary practice located at 7280 W Azure Dr Ste 130 , Las Vegas NV 89130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pena, Roehl can be contacted via phone (702) 309-3360.Contact Information
Primary practice address
7280 W Azure Dr Ste 130
Las Vegas NV 89130
Phone: (702) 309-3360
Fax: (702) 309-3370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9935 | Nevada |
Profile Details
| NPI number | 1770520306 |
|---|---|
| LBN Legal business name | Pena, Roehl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jun 22nd, 2018 - about 8 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 | 1770520306 | NPPES |
| Nevada | MEDICAID | 1770520306 |
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