# JEIDER LIMITED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legal Business Name
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013424100
- **Authorized official:** DR. TIMOTHY JEIDER MD (OWNER)
- **Authorized official phone:** (702) 350-2906

## Contact information

- **Practice address:** 10785 W TWAIN AVE STE 219, LAS VEGAS, NV 89135-3028
- **Practice address phone:** (702) 350-2906
- **Mailing address:** 8845 W FLAMINGO RD STE 210, LAS VEGAS, NV 89147-8745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2018
- **Last updated:** 03/17/2022