Blackshear, Earnest Howard-Rudolph
Blackshear, Earnest Howard-Rudolph is an individual health care provider with primary practice located at 5836 Beluga Bay St , North Las Vegas NV 89081-6843. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blackshear, Earnest Howard-Rudolph can be contacted via phone (702) 941-0583.Contact Information
Primary practice address
5836 Beluga Bay St
North Las Vegas NV 89081-6843
Phone: (702) 941-0583
Fax: (702) 832-1940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY0864 | Nevada |
Profile Details
| NPI number | 1386883932 |
|---|---|
| LBN Legal business name | Blackshear, Earnest Howard-Rudolph |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2009 |
| Last updated | Mar 28th, 2022 - about 2 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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