Provider Demographics
NPI:1104816248
Name:PLAIRE, JAMES CHADWICK (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHADWICK
Last Name:PLAIRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6670 S TENAYA WAY
Mailing Address - Street 2:SUITE 180
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-1966
Mailing Address - Country:US
Mailing Address - Phone:702-369-4999
Mailing Address - Fax:702-369-2993
Practice Address - Street 1:6670 S TENAYA WAY
Practice Address - Street 2:SUITE 180
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-1966
Practice Address - Country:US
Practice Address - Phone:702-369-4999
Practice Address - Fax:702-369-2993
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-27
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV9356174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV20-18683Medicaid
NV20-18683Medicaid
NV35200Medicare ID - Type Unspecified