Anderson, Willie Dwayne
Anderson, Willie Dwayne is an sole proprietor health care provider with primary practice located at 7381 Prairie Falcon Rd , Las Vegas NV 89128-0811. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Anderson, Willie Dwayne can be contacted via phone (702) 646-5437.Contact Information
Primary practice address
7381 Prairie Falcon Rd
Las Vegas NV 89128-0811
Phone: (702) 646-5437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1649574559 |
|---|---|
| LBN Legal business name | Anderson, Willie Dwayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2011 |
| Last updated | Jan 6th, 2011 - about 14 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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