Anderson, Kenosha

Anderson, Kenosha is an individual health care provider with primary practice located at 1827 Aurburn St S , St. Pete FL 33701. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Anderson, Kenosha can be contacted via phone (727) 831-9111.

Contact Information

Primary practice address
1827 Aurburn St S St. Pete FL 33701
Phone: (727) 831-9111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1790364644
LBN Legal business name Anderson, Kenosha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2021
Last updated Apr 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790364644 NPPES
Florida MEDICAID A536512828870

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