Badger, John

Badger, John is an individual health care provider with primary practice located at 3304 Conterra Park Ave , North Las Vegas NV 89081-6537. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Badger, John can be contacted via phone (702) 685-1899.

Contact Information

Primary practice address
3304 Conterra Park Ave North Las Vegas NV 89081-6537
Fax: (702) 685-1799
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X GF-125401000-0015 Nevada

Profile Details

NPI number 1245562750
LBN Legal business name Badger, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2010
Last updated Feb 8th, 2010 - about 15 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 1245562750 NPPES
Nevada Other GF-125401000-0015 FACILITY NUMBER

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