Conway, Jaimie

Conway, Jaimie is an individual health care provider with primary practice located at 1601 Ne Braille Pl , Jensen Beach FL 34957-5345. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Conway, Jaimie can be contacted via phone (772) 320-0770.

Contact Information

Primary practice address
1601 Ne Braille Pl Jensen Beach FL 34957-5345
Phone: (772) 320-0770
Fax: (772) 444-3589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Florida

Profile Details

NPI number 1780174680
LBN Legal business name Conway, Jaimie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2018
Last updated May 16th, 2018 - about 7 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 1780174680 NPPES
Florida MEDICAID 360033930

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