Dunaway, Mary A
Dunaway, Mary A is an sole proprietor health care provider with primary practice located at 2121 E Flamingo Rd Ste 110 , Las Vegas NV 89119-5123. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Dunaway, Mary A can be contacted via phone (702) 382-8841.Contact Information
Primary practice address
2121 E Flamingo Rd Ste 110
Las Vegas NV 89119-5123
Phone: (702) 382-8841
Fax: (702) 369-2370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 32133-DI-4 | Nevada |
Profile Details
| NPI number | 1396788048 |
|---|---|
| LBN Legal business name | Dunaway, Mary A |
| Credentials | RD, CDE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Oct 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396788048 | NPPES |
| Nevada | MEDICAID | 100556232 |
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