Wellock, Cassie Ann

Wellock, Cassie Ann is an individual health care provider with primary practice located at 1525 Los Altos Pkwy , Sparks NV 89436-6692. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wellock, Cassie Ann can be contacted via phone (775) 982-5000.

Contact Information

Primary practice address
1525 Los Altos Pkwy Sparks NV 89436-6692
Fax: (775) 982-3900
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1396 Nevada

Profile Details

NPI number 1720327869
LBN Legal business name Wellock, Cassie Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2013
Last updated May 13th, 2021 - about 4 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 1720327869 NPPES
Nevada Other 12788722 CAQH ID #
Nevada Other PA1396 CAQH ID #

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