Thomas, Rayvon Dasean
Thomas, Rayvon Dasean is an sole proprietor health care provider with primary practice located at 3628 Dove Ln , North Las Vegas NV 89032-0477. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Thomas, Rayvon Dasean can be contacted via phone (702) 505-5047.Contact Information
Primary practice address
3628 Dove Ln
North Las Vegas NV 89032-0477
Phone: (702) 505-5047
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1558764068 |
|---|---|
| LBN Legal business name | Thomas, Rayvon Dasean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2014 |
| Last updated | Sep 29th, 2014 - about 12 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 | 1558764068 | NPPES |
| Nevada | MEDICAID | 0000 |
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