Mariano, Gerardo A
Mariano, Gerardo A is an sole proprietor health care provider with primary practice located at 4462 Farmcrest Dr , Las Vegas NV 89121-4906. He recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as his primary health care specialty. Mariano, Gerardo A can be contacted via phone (702) 433-2879.Contact Information
Primary practice address
4462 Farmcrest Dr
Las Vegas NV 89121-4906
Phone: (702) 433-2879
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X | 297-AGC-32 | Nevada |
Profile Details
| NPI number | 1366001950 |
|---|---|
| LBN Legal business name | Mariano, Gerardo A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2019 |
| Last updated | Jun 7th, 2019 - about 7 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 | 1366001950 | NPPES |
| Nevada | MEDICAID | 260502327 |
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