Dechaine, Carolyn A.
Dechaine, Carolyn A. is an individual health care provider with primary practice located at 653 N Town Center Dr Ste 106 , Las Vegas NV 89144. 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. Dechaine, Carolyn A. can be contacted via phone (702) 844-4842.Contact Information
Primary practice address
653 N Town Center Dr Ste 106
Las Vegas NV 89144
Phone: (702) 844-4842
Fax: (702) 284-4484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA776 | Nevada |
Profile Details
| NPI number | 1649276254 |
|---|---|
| LBN Legal business name | Dechaine, Carolyn A. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649276254 | NPPES |
| Nevada | MEDICAID | 1649276254 |
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