Stephen Pedersen
Rehabilitation Practitioner
4417 Santa Clarita Ave
Las Vegas
, Nevada 89115-6003
Stephen Pedersen
Rehabilitation Practitioner
4417 Santa Clarita Ave
Las Vegas
, Nevada 89115-6003
(702) 943-0233
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Stephen Pedersen
- 4417 Santa Clarita Ave
- Las Vegas, NV
- Zip : 89115
- Fax : (702) 943-0233
- Phone : (702) 420-5569
Second Address
- Stephen Pedersen
- 4417 Santa Clarita Ave
- Las Vegas, NV
- Zip : 89115-6003
- Fax : (702) 943-0233
- Phone : (702) 420-5569
Reviews
FAQs
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What type of doctor is Stephen Pedersen
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Is Stephen Pedersen a sole practitioner?
Is Stephen Pedersen accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1043573124 |
|---|---|
| Provider Name | Stephen Pedersen |
| First Address | Las Vegas, NV 89115 |
| Second Address | Las Vegas, NV 89115-6003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2012 |
| Last Update Date | 22/06/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.