Cooper, Guy Calderon
Cooper, Guy Calderon is an sole proprietor health care provider with primary practice located at 8228 Chimney Bluffs St , North Las Vegas NV 89085-4412. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Cooper, Guy Calderon can be contacted via phone (702) 985-7511.Contact Information
Primary practice address
8228 Chimney Bluffs St
North Las Vegas NV 89085-4412
Phone: (702) 985-7511
Fax: (702) 645-4919
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0134851 | New Mexico |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | CP0079 | Nevada |
Profile Details
NPI number | 1205164290 |
---|---|
LBN Legal business name | Cooper, Guy Calderon |
Credentials | MS, LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 2nd, 2009 |
Last updated | Jan 28th, 2014 - about 10 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 | 1205164290 | NPPES |
Nevada | MEDICAID | 1205164290 | |
Nevada | Other | 12038643 |
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