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NPI Code Detail

MEDICARE: SHOLE IGERT

MEDICARE: SHOLE IGERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372500000XChore Provider
2372600000XAdult Companion
33747A0650XAttendant Care Provider
4376J00000XHomemaker
53747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1740834886
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHOLE IGERT
Provider Business Mailing Address
First Line : 1008 BLACK OLIVE ST
Second Line :
City : HENDERSON
State : NV
Zip : 89002-9271
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5250 S RAINBOW BLVD UNIT 1156
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-0630
Country : US
Telephone Number : 702-815-9012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2019
Last Update Date : 08/12/2019

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Directions to “ SHOLE IGERT ” Practice Location

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