Provider Demographics
NPI:1619474681
Name:ESSENTIAL HEALTHCARE LLC
Entity Type:Organization
Organization Name:ESSENTIAL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSHUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:725-222-9499
Mailing Address - Street 1:3909 S MARYLAND PKWY STE 405
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-7526
Mailing Address - Country:US
Mailing Address - Phone:702-899-1422
Mailing Address - Fax:702-899-3420
Practice Address - Street 1:3909 S MARYLAND PKWY STE 405
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-7526
Practice Address - Country:US
Practice Address - Phone:702-899-1422
Practice Address - Fax:702-899-3420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207R00000X
NVAPRN002841363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVPENDINGOtherPENDING