Pakingan, Xavierre

Pakingan, Xavierre is an sole proprietor health care provider with primary practice located at 1404 Sun Copper Dr , Las Vegas NV 89117-7020. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Pakingan, Xavierre can be contacted via phone (213) 793-3175.

Contact Information

Primary practice address
1404 Sun Copper Dr Las Vegas NV 89117-7020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1366015711
LBN Legal business name Pakingan, Xavierre
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2021
Last updated Jul 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366015711 NPPES
Guam MEDICAID 291386

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