Charles, Jacqueline

Charles, Jacqueline is an sole proprietor health care provider with primary practice located at 613 Hampton St , Auburndale FL 33823-3322. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Charles, Jacqueline can be contacted via phone (863) 852-5195.

Contact Information

Primary practice address
613 Hampton St Auburndale FL 33823-3322
Fax:
Website:

Health care specialties

Profile Details

NPI number 1477270494
LBN Legal business name Charles, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2022
Last updated Oct 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477270494 NPPES
Florida MEDICAID 114312700

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