Dilla, Gwen B

Dilla, Gwen B is an individual health care provider with primary practice located at 1815 E Lake Mead Suite 103, N Las Vegas NV 89030. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified, which is considered as his primary health care specialty. Dilla, Gwen B can be contacted via phone (702) 839-0091.

Contact Information

Primary practice address
1815 E Lake Mead Suite 103 N Las Vegas NV 89030
Phone: (702) 839-0091
Fax: (702) 839-0095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified 227800000X Nevada

Profile Details

NPI number 1245601426
LBN Legal business name Dilla, Gwen B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2015
Last updated Oct 13th, 2015 - about 9 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 1245601426 NPPES
Nevada MEDICAID 1702161

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