Anderson, Corey Demar

Anderson, Corey Demar is an sole proprietor health care provider with primary practice located at 9127 W Russell Rd Ste 110 , Las Vegas NV 89148. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Anderson, Corey Demar can be contacted via phone (702) 878-0070.

Contact Information

Primary practice address
9127 W Russell Rd Ste 110 Las Vegas NV 89148
Phone: (702) 878-0070
Fax: (702) 209-2064
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA000507 Nevada

Profile Details

NPI number 1891129839
LBN Legal business name Anderson, Corey Demar
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2013
Last updated Aug 15th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891129839 NPPES
Nevada MEDICAID 1891129839

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