Vergara, Cleofemarie S
Vergara, Cleofemarie S is an individual health care provider with primary practice located at 6900 N Pecos Rd , North Las Vegas NV 89086-4400. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Vergara, Cleofemarie S can be contacted via phone (702) 791-9000.Contact Information
Primary practice address
6900 N Pecos Rd
North Las Vegas NV 89086-4400
Phone: (702) 791-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 9093 | Nevada |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9093 | Nevada |
Profile Details
| NPI number | 1639172794 |
|---|---|
| LBN Legal business name | Vergara, Cleofemarie S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Aug 7th, 2023 - about 3 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 | 1639172794 | NPPES |
| Nevada | MEDICAID | 1639172794 | |
| Nevada | Other | P00869080 |
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