Cancino, Gustavo

Cancino, Gustavo is an individual health care provider with primary practice located at 1640 Alta Dr Ste 4 , Las Vegas NV 89106-4165. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Cancino, Gustavo can be contacted via phone (702) 474-6450.

Contact Information

Primary practice address
1640 Alta Dr Ste 4 Las Vegas NV 89106-4165
Fax: (702) 474-6463
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1124527551
LBN Legal business name Cancino, Gustavo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2018
Last updated Feb 12th, 2018 - about 7 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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