Mr. Eddie Wormwood
Rehabilitation Counselor
3840 N Commerce St 200
North Las Vegas
, Nevada 89032-8104
Mr. Eddie Wormwood
Rehabilitation Counselor
3840 N Commerce St 200
North Las Vegas
, Nevada 89032-8104
(702) 974-1348
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Mr. Eddie Wormwood
- 3840 N Commerce St 200
- North Las Vegas, NV
- Zip : 89032-8104
- Fax : (702) 974-1348
- Phone : (702) 633-7570
Second Address
- Mr. Eddie Wormwood
- 3840 N Commerce St 200
- North Las Vegas, NV
- Zip : 89032-8104
- Fax : (702) 974-1348
- Phone : (702) 633-7570
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1225302573 |
|---|---|
| Provider Name | Mr. Eddie Wormwood |
| First Address | North Las Vegas, NV 89032-8104 |
| Second Address | North Las Vegas, NV 89032-8104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2012 |
| Last Update Date | 05/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.