Burnside, Jheanell

Burnside, Jheanell is an individual health care provider with primary practice located at 13101 Bruce B Downs Blvd , Tampa FL 33612-3803. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Burnside, Jheanell can be contacted via phone (813) 974-0602.

Contact Information

Primary practice address
13101 Bruce B Downs Blvd Tampa FL 33612-3803
Phone: (813) 974-0602
Fax: (813) 558-1343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1144570979
LBN Legal business name Burnside, Jheanell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2012
Last updated Apr 19th, 2017 - about 8 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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