White, Dorrian
White, Dorrian is an sole proprietor health care provider with primary practice located at 4325 W Rome Blvd Apt 1050 , North Las Vegas NV 89084-5403. He recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as his primary health care specialty. White, Dorrian can be contacted via phone (702) 237-8063.Contact Information
Primary practice address
4325 W Rome Blvd Apt 1050
North Las Vegas NV 89084-5403
Phone: (702) 237-8063
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 5341-C | Nevada |
Profile Details
| NPI number | 1285049056 |
|---|---|
| LBN Legal business name | White, Dorrian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2014 |
| Last updated | Jun 30th, 2014 - about 11 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 | 1285049056 | NPPES |
| Nevada | MEDICAID | 272551403 |
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