Grant, Wendy
Grant, Wendy is an sole proprietor health care provider with primary practice located at 323 N Maryland Pkwy , Las Vegas NV 89101-3130. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Grant, Wendy can be contacted via phone (702) 385-3330.Contact Information
Primary practice address
323 N Maryland Pkwy
Las Vegas NV 89101-3130
Phone: (702) 385-3330
Fax: (702) 207-7155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1093119836 |
|---|---|
| LBN Legal business name | Grant, Wendy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2014 |
| Last updated | Dec 13th, 2017 - about 9 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 | 1093119836 | NPPES |
| Nevada | MEDICAID | 1093119836 |
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