Barret Douglas, Judith
Barret Douglas, Judith is an sole proprietor health care provider with primary practice located at 3988 Hampton Hills Dr , Lakeland FL 33810-3841. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Barret Douglas, Judith can be contacted via phone (863) 868-8758.Contact Information
Primary practice address
3988 Hampton Hills Dr
Lakeland FL 33810-3841
Phone: (863) 868-8758
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 6906660 | Florida |
Profile Details
| NPI number | 1780086553 |
|---|---|
| LBN Legal business name | Barret Douglas, Judith |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2014 |
| Last updated | Sep 23rd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780086553 | NPPES |
| Florida | MEDICAID | 011674100 |
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