Charleston, Antoinette
Charleston, Antoinette is an sole proprietor health care provider with primary practice located at 136 Greenwood Dr , Jennings LA 70546-4302. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Charleston, Antoinette can be contacted via phone (337) 693-9445.Contact Information
Primary practice address
136 Greenwood Dr
Jennings LA 70546-4302
Phone: (337) 693-9445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1275097800 |
|---|---|
| LBN Legal business name | Charleston, Antoinette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2019 |
| Last updated | Jan 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275097800 | NPPES |
| Louisiana | Other | 12101972 | PRIVATE |
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