Slagle, Dodge Alan
Slagle, Dodge Alan is an sole proprietor health care provider with primary practice located at 1070 Wigwam Parkway #100, Henderson NV 89074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Slagle, Dodge Alan can be contacted via phone (702) 454-0201.Contact Information
Primary practice address
1070 Wigwam Parkway #100
Henderson NV 89074
Phone: (702) 454-0201
Fax: (702) 454-1245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 500 | Nevada |
Profile Details
| NPI number | 1578570578 |
|---|---|
| LBN Legal business name | Slagle, Dodge Alan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jun 18th, 2021 - about 5 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 | 1578570578 | NPPES |
| Nevada | MEDICAID | 002002729 |
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