Bostick, Jerrell S

Bostick, Jerrell S is an sole proprietor health care provider with primary practice located at 504 Railway St , Daytona Beach FL 32114-2654. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is his primary health care specialty. Bostick, Jerrell S can be contacted via phone (386) 679-8532.

Contact Information

Primary practice address
504 Railway St Daytona Beach FL 32114-2654
Phone: (386) 679-8532
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT135450 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA79474 Florida

Profile Details

NPI number 1003163858
LBN Legal business name Bostick, Jerrell S
Credentials B.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2012
Last updated Jan 13th, 2024 - about 11 months 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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