Breastcare

LBN: Theodore Potruch, Md
Breastcare is an health care organization with primary practice located at 2020 Goldring Ave #206, Las Vegas NV 89106-4000. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Theodore Potruch, Md can be contacted via phone (702) 382-2273, or through Potruch, Theodore via phone (702) 382-2273.

Contact Information

Primary practice address
2020 Goldring Ave #206 Las Vegas NV 89106-4000
Phone: (702) 382-2273
Fax: (702) 385-9956
Website:
Map and Directions
Authorized official contact:
Name: Potruch, Theodore Doctor of Medicine (MD)
Phone: (702) 382-2273

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1447390646
LBN Legal business name Theodore Potruch, Md
DBA Doing business as Breastcare
Authorized official Potruch, Theodore Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Jan 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447390646 NPPES
Nevada MEDICAID 0022702550
Nevada Other NV2969

Popular Providers