Michell, Charles

Michell, Charles is an sole proprietor health care provider with primary practice located at 800 N Rainbow Blvd 212, Las Vegas NV 89107-1189. He recently has 4 registered licenses in different health care specialties including Managed Care Organizations / Exclusive Provider Organization, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Home Health Aide, Agencies / Home Health. Agencies / Home Health is his primary health care specialty. Michell, Charles can be contacted via phone (702) 293-3888.

Contact Information

Primary practice address
800 N Rainbow Blvd 212 Las Vegas NV 89107-1189
Phone: (702) 293-3888
Fax: (702) 293-3664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 6048PCS-6 Nevada
Nursing Service Related Providers / Chore Provider 372500000X 6048PCS-6 Nevada
Nursing Service Related Providers / Home Health Aide 374U00000X 6048PCS-6 Nevada
Agencies / Home Health 251E00000X 6048PCS-6 Nevada

Profile Details

NPI number 1750684841
LBN Legal business name Michell, Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2010
Last updated Mar 17th, 2018 - about 8 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 1750684841 NPPES
Nevada MEDICAID 1538546635

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