Berthelot, Michelle

Berthelot, Michelle is an individual health care provider with primary practice located at 524 Highland St N , St Petersburg FL 33701-2120. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Nursing Service Related Providers / Adult Companion. Other Service Providers / Community Health Worker is her primary health care specialty. Berthelot, Michelle can be contacted via phone (727) 827-4778.

Contact Information

Primary practice address
524 Highland St N St Petersburg FL 33701-2120
Phone: (727) 827-4778
Fax: (727) 827-4779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X AL10104 Florida
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1386065696
LBN Legal business name Berthelot, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2014
Last updated Jan 5th, 2014 - about 11 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 1386065696 NPPES
Florida MEDICAID 141913700

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