Provider Demographics
NPI:1710559943
Name:WEE CARE UC, LLC
Entity Type:Organization
Organization Name:WEE CARE UC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAKERINK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-419-4846
Mailing Address - Street 1:4785 S DURANGO DR STE 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8167
Mailing Address - Country:US
Mailing Address - Phone:702-419-4846
Mailing Address - Fax:
Practice Address - Street 1:10170 S EASTERN AVE STE 160
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3975
Practice Address - Country:US
Practice Address - Phone:702-550-2273
Practice Address - Fax:702-492-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty