Banks, Willie
Banks, Willie is an individual health care provider with primary practice located at 3455 W Craig Rd Ste B , North Las Vegas NV 89032-5119. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Banks, Willie can be contacted via phone (702) 776-7772.Contact Information
Primary practice address
3455 W Craig Rd Ste B
North Las Vegas NV 89032-5119
Phone: (702) 776-7772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1932526985 |
|---|---|
| LBN Legal business name | Banks, Willie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2014 |
| Last updated | Mar 26th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932526985 | NPPES |
| Nevada | MEDICAID | 1811325095 |
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