De Vera, Vincent

De Vera, Vincent is an sole proprietor health care provider with primary practice located at 1517 Santa Rosalia Dr , North Las Vegas NV 89031-1010. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. De Vera, Vincent can be contacted via phone (702) 929-3297.

Contact Information

Primary practice address
1517 Santa Rosalia Dr North Las Vegas NV 89031-1010
Fax: (702) 750-9927
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1760020945
LBN Legal business name De Vera, Vincent
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2019
Last updated Dec 18th, 2019 - about 5 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 1760020945 NPPES
Nevada MEDICAID 1306384219

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