Bennett, Maverene
Bennett, Maverene is an individual health care provider with primary practice located at 3210 W Charleston Blvd Ste 2 , Las Vegas NV 89102. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Bennett, Maverene can be contacted via phone (702) 893-2001.Contact Information
Primary practice address
3210 W Charleston Blvd Ste 2
Las Vegas NV 89102
Phone: (702) 893-2001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1700519048 |
|---|---|
| LBN Legal business name | Bennett, Maverene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2022 |
| Last updated | Jul 5th, 2022 - about 3 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 | 1700519048 | NPPES |
| Nevada | MEDICAID | 111111111111111 |
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