Mr. Henry Sylvester Ebron III
Rehabilitation Practitioner
2110 Los Feliz St 2083
Las Vegas
, Nevada 89156
Mr. Henry Sylvester Ebron III
Rehabilitation Practitioner
2110 Los Feliz St 2083
Las Vegas
, Nevada 89156
(702) 420-5323
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Mr. Henry Sylvester Ebron III
- 2110 Los Feliz St 2083
- Las Vegas, NV
- Zip : 89156
- Phone : (702) 420-5323
Second Address
- Mr. Henry Sylvester Ebron III
- 2110 Los Feliz St 2083
- Las Vegas, NV
- Zip : 89156
- Phone : (702) 420-5323
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Is Mr. Henry Sylvester Ebron III a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1033410261 |
|---|---|
| Provider Name | Mr. Henry Sylvester Ebron III |
| First Address | Las Vegas, NV 89156 |
| Second Address | Las Vegas, NV 89156 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2010 |
| Last Update Date | 04/11/2010 |
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.