Berthelot, Richard
Berthelot, Richard is an individual health care provider with primary practice located at 2521 Madrid Way S , St Petersburg FL 33712-3933. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Berthelot, Richard can be contacted via phone (727) 642-5448.Contact Information
Primary practice address
2521 Madrid Way S
St Petersburg FL 33712-3933
Phone: (727) 642-5448
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 253Z00000X | Florida |
Profile Details
| NPI number | 1033795265 |
|---|---|
| LBN Legal business name | Berthelot, Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2021 |
| Last updated | Mar 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033795265 | NPPES |
| Other | 1447602024 | NPI |
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