Dickerson, Shyndona Lynette
Dickerson, Shyndona Lynette is an sole proprietor health care provider with primary practice located at 2300 W Sahara Ave Ste 800 , Las Vegas NV 89102-4397. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Nursing Service Related Providers / Attendant Care Provider, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Dickerson, Shyndona Lynette can be contacted via phone (702) 604-2448.Contact Information
Primary practice address
2300 W Sahara Ave Ste 800
Las Vegas NV 89102-4397
Phone: (702) 604-2448
Fax: (725) 605-5874
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Nursing Service Related Providers / Attendant Care Provider | 3747A0650X | CNA023075 | Nevada |
Agencies / Home Health | 251E00000X | 10472-PCS-0 | Nevada |
Profile Details
NPI number | 1578071007 |
---|---|
LBN Legal business name | Dickerson, Shyndona Lynette |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 18th, 2018 |
Last updated | Jan 17th, 2023 - about last year |
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 | 1578071007 | NPPES |
Nevada | MEDICAID | 15272562 |
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