Dominic James Sturdivant I, is a
Technician - Personal Care Attendant based in North Las Vegas, Nevada. Dominic James Sturdivant I is licensed to practice in * (Not Available) (license number ) and his current practice location is
4017 Fabulous Finches Ave, North Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 384-2273.
NPI number for Dominic James Sturdivant I is 1134761406 and his current mailing address is 4017 Fabulous Finches Ave, North Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134761406.
Healthcare Provider's Profile
| Full Name | Dominic James Sturdivant I |
|---|
| Gender | Male |
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| Speciality | Technician - Personal Care Attendant |
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| Location | 4017 Fabulous Finches Ave, North Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134761406
- Provider Enumeration Date: 10/08/2019
- Last Update Date: 10/08/2019
Medical Identifiers
Medical identifiers for Dominic James Sturdivant I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134761406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Secondary |
| 103TH0100X | Psychologist - Health Service | (Nevada) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | (Nevada) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominic James Sturdivant I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dominic James Sturdivant I,
4017 Fabulous Finches Ave,
North Las Vegas, NV 89084-4808
Ph: () - | Dominic James Sturdivant I,
4017 Fabulous Finches Ave,
North Las Vegas, NV 89084-4808
Ph: (702) 384-2273 |
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