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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205164290 NPPES
Nevada MEDICAID 1205164290
Nevada Other 12038643

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