Wormwood, Eddie

Wormwood, Eddie is an sole proprietor health care provider with primary practice located at 3840 N Commerce St 200, North Las Vegas NV 89032-8104. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as his primary health care specialty. Wormwood, Eddie can be contacted via phone (702) 633-7570.

Contact Information

Primary practice address
3840 N Commerce St 200 North Las Vegas NV 89032-8104
Phone: (702) 633-7570
Fax: (702) 974-1348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1225302573
LBN Legal business name Wormwood, Eddie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2012
Last updated Mar 5th, 2012 - about 12 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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