Slagle, William Richard

Slagle, William Richard is an individual health care provider with primary practice located at 1070 Wigwam Pkwy Ste 100 , Henderson NV 89074-8178. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Slagle, William Richard can be contacted via phone (702) 454-0201.

Contact Information

Primary practice address
1070 Wigwam Pkwy Ste 100 Henderson NV 89074-8178
Fax: (702) 454-1245
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0456 Nevada

Profile Details

NPI number 1114943016
LBN Legal business name Slagle, William Richard
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Oct 4th, 2022 - about 2 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 1114943016 NPPES
Nevada MEDICAID 002602052

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