Manor, Willie Darnell

Manor, Willie Darnell is an sole proprietor health care provider with primary practice located at 513 E La Madre Way , N Las Vegas NV 89081-3048. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Manor, Willie Darnell can be contacted via phone (702) 596-6940.

Contact Information

Primary practice address
513 E La Madre Way N Las Vegas NV 89081-3048
Phone: (702) 596-6940
Fax: (702) 989-4669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1346550498
LBN Legal business name Manor, Willie Darnell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2010
Last updated Oct 7th, 2010 - about 15 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 1346550498 NPPES
Nevada MEDICAID 225400000X

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