Burch, Syreeta Lashay

Burch, Syreeta Lashay is an sole proprietor health care provider with primary practice located at 2149 Wiley Oaks Ln , Jacksonville FL 32210-2692. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Burch, Syreeta Lashay can be contacted via phone (904) 570-6863.

Contact Information

Primary practice address
2149 Wiley Oaks Ln Jacksonville FL 32210-2692
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X Florida

Profile Details

NPI number 1710446471
LBN Legal business name Burch, Syreeta Lashay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2019
Last updated Mar 13th, 2019 - about 5 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 1710446471 NPPES
Florida MEDICAID 833761470

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