Individual
DR. NICHOLAS SCHULACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 RANCHO LN, LAS VEGAS, NV 89106-3836
(702) 383-7885
Mailing address
901 RANCHO LN, LAS VEGAS, NV 89106-3836
(702) 383-7885
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17759
CA
207P00000X
Emergency Medicine Physician
DO2620
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2017
Last updated
06/10/2020
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