Maddox, Willie
Maddox, Willie is an sole proprietor health care provider with primary practice located at 5258 S Eastern Ave 105, Las Vegas NV 89119-2326. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Maddox, Willie can be contacted via phone (702) 464-5080.Contact Information
Primary practice address
5258 S Eastern Ave 105
Las Vegas NV 89119-2326
Phone: (702) 464-5080
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Case Management | 251B00000X |
Profile Details
NPI number | 1912379918 |
---|---|
LBN Legal business name | Maddox, Willie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 29th, 2015 |
Last updated | Oct 29th, 2015 - about 10 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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