Menyweather, Porscha
Menyweather, Porscha is an sole proprietor health care provider with primary practice located at 4316 E Tropicana Ave , Las Vegas NV 89121-6704. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Menyweather, Porscha can be contacted via phone (702) 420-0028.Contact Information
Primary practice address
4316 E Tropicana Ave
Las Vegas NV 89121-6704
Phone: (702) 420-0028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1275871238 |
|---|---|
| LBN Legal business name | Menyweather, Porscha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2013 |
| Last updated | Jan 26th, 2013 - about 12 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 | 1275871238 | NPPES |
| Nevada | MEDICAID | NV20121267098 |
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