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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 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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