Avery, Dondre

Avery, Dondre is an sole proprietor health care provider with primary practice located at 10446 Midseason Mist St , Las Vegas NV 89183-4299. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is his primary health care specialty. Avery, Dondre can be contacted via phone (702) 538-6633.

Contact Information

Primary practice address
10446 Midseason Mist St Las Vegas NV 89183-4299
Phone: (702) 538-6633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1386911139
LBN Legal business name Avery, Dondre
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2011
Last updated Jun 18th, 2020 - about 5 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 1386911139 NPPES
Nevada MEDICAID 844898407

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