Beseler, Lucille
Beseler, Lucille is an sole proprietor health care provider with primary practice located at 20483 Via Marisa , Boca Raton FL 33498-6708. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Beseler, Lucille can be contacted via phone (954) 360-7883.Contact Information
Primary practice address
20483 Via Marisa
Boca Raton FL 33498-6708
Phone: (954) 360-7883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ND2042 | Florida |
Profile Details
| NPI number | 1336172865 |
|---|---|
| LBN Legal business name | Beseler, Lucille |
| Credentials | MS, RD, LD/N |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Aug 30th, 2022 - about 2 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 | 1336172865 | NPPES |
| Florida | Other | 215435 | AMERIGROUP |
| Florida | MEDICAID | 681581296 | AMERIGROUP |
| Florida | Other | 4533713 | AMERIGROUP |
| Florida | Other | N0016 | AMERIGROUP |
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