Porreca, Eugene G
Porreca, Eugene G is an individual health care provider with primary practice located at 7106 Smoke Ranch Rd Suite 120, Las Vegas NV 89128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Porreca, Eugene G can be contacted via phone (702) 869-4554.Contact Information
Primary practice address
7106 Smoke Ranch Rd Suite 120
Las Vegas NV 89128
Phone: (702) 869-4554
Fax: (702) 796-9225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5987 | Nevada |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 5987 | Nevada |
Profile Details
| NPI number | 1871562652 |
|---|---|
| LBN Legal business name | Porreca, Eugene G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jun 26th, 2012 - about 14 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 | 1871562652 | NPPES |
| Nevada | Other | 770589284 | TAX ID |
| Nevada | MEDICAID | 002019002 | TAX ID |
| Nevada | Other | 770003058 | TAX ID |
Popular Providers
-
Bhatnagar, Pankaj K
6850 N Durango Dr Suite 204, Las Vegas NV 89149-4595 -
Fisher, Christopher Joseph
3131 La Canada St Ste 217 , Las Vegas NV 89169-2579 -
Davis, Ben David
3131 La Canada St Ste 217 , Las Vegas NV 89169-2579 -
Nathan, Edward Mark
9109 Garden View Dr , Las Vegas NV 89134-8827 -
Colquitt, Richard Derryl
2300 W Charleston Blvd Ste 170, Las Vegas NV 89102 -
Sroka, Aaron Michael
3186 S Maryland Pkwy , Las Vegas NV 89109 -
Chock, Stefan Nathan
3131 La Canada St Ste 217 , Las Vegas NV 89169-2579 -
Davis, John Scott
5320 S Rainbow Blvd Ste 302 , Las Vegas NV 89118-1896