Individual
MR. ERIK DUQUENSE BADGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, C.AD., CADC-I
Contact information
Practice address
730 N EASTERN AVE, STE. 110, LAS VEGAS, NV 89101-2883
(702) 588-9363
Mailing address
1720 REXFORD DR, 13B, LAS VEGAS, NV 89104-2442
(702) 588-9363
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122526826
—
NV
Enumeration date
12/29/2010
Last updated
03/03/2011
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