Roberts, Jerrell De'Andre

Roberts, Jerrell De'Andre is an sole proprietor health care provider with primary practice located at 2704 Prospector Mine Ave , North Las Vegas NV 89031-1188. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Roberts, Jerrell De'Andre can be contacted via phone (702) 647-5300.

Contact Information

Primary practice address
2704 Prospector Mine Ave North Las Vegas NV 89031-1188
Phone: (702) 647-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X Nevada

Profile Details

NPI number 1003195488
LBN Legal business name Roberts, Jerrell De'Andre
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2011
Last updated Sep 16th, 2011 - about 15 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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