Stuckey, Carnell Lemont
Stuckey, Carnell Lemont is an sole proprietor health care provider with primary practice located at 4325 W Rome Blvd 3181, N Las Vegas NV 89084-5497. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Stuckey, Carnell Lemont can be contacted via phone (309) 444-0063.Contact Information
Primary practice address
4325 W Rome Blvd 3181
N Las Vegas NV 89084-5497
Phone: (309) 444-0063
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1982900619 |
|---|---|
| LBN Legal business name | Stuckey, Carnell Lemont |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2011 |
| Last updated | Jan 27th, 2011 - 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 | 1982900619 | NPPES |
| Nevada | MEDICAID | 225400000X |
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