1821277062 NPI number — ARTURO ESTEVAN MARCHAND JR. M.D., PC.

Table of content: (NPI 1821277062)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821277062 NPI number — ARTURO ESTEVAN MARCHAND JR. M.D., PC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARTURO ESTEVAN MARCHAND JR. M.D., PC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821277062
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/01/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 E SILVERADO RANCH BLVD
Provider Second Line Business Mailing Address:
STE.#170
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89183-7516
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-240-6482
Provider Business Mailing Address Fax Number:
702-804-0957

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4275 BURNHAM AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89119-5488
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-240-6482
Provider Business Practice Location Address Fax Number:
702-804-0957
Provider Enumeration Date:
10/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
COPELAND
Authorized Official First Name:
LAURIE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CREDENTIALING SPECIALIST
Authorized Official Telephone Number:
702-240-6482

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  9892 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 002088024 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: V103055 . This is a "MEDICARE GROUP PIN" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".




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