Redwine, Stephanie L
Redwine, Stephanie L is an individual health care provider with primary practice located at 3074 Arville St , Las Vegas NV 89102-7490. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Redwine, Stephanie L can be contacted via phone (702) 889-3763.Contact Information
Primary practice address
3074 Arville St
Las Vegas NV 89102-7490
Phone: (702) 889-3763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 3626 | Nevada |
Profile Details
| NPI number | 1548322191 |
|---|---|
| LBN Legal business name | Redwine, Stephanie L |
| Credentials | RDH, BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Mar 9th, 2012 - about 13 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 | 1548322191 | NPPES |
| Nevada | MEDICAID | 100507897 |
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