Renato Balingit
Individual provider Active NPI Contractor · Las Vegas, NV
NPI 1639472145 · NPPES record last updated Dec 6, 2010
Key facts
- NPI
- 1639472145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 4235 Patterson Ave
Las Vegas, NV 89104-5326 - Phone
- (702) 461-6969
- NPI assigned
- Dec 6, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
4235 Patterson Ave
Las Vegas, NV 89104-5326
Mailing address
4235 Patterson Ave
Las Vegas, NV 89104-5326
Phone (702) 461-6969
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.