Dechaine, Carolyn A.

Dechaine, Carolyn A. is an individual health care provider with primary practice located at 653 N Town Center Dr Ste 106 , Las Vegas NV 89144. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dechaine, Carolyn A. can be contacted via phone (702) 844-4842.

Contact Information

Primary practice address
653 N Town Center Dr Ste 106 Las Vegas NV 89144
Phone: (702) 844-4842
Fax: (702) 284-4484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA776 Nevada

Profile Details

NPI number 1649276254
LBN Legal business name Dechaine, Carolyn A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Oct 26th, 2021 - about 3 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 1649276254 NPPES
Nevada MEDICAID 1649276254

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