Daniels, Shada A

Daniels, Shada A is an sole proprietor health care provider with primary practice located at 9228 Thunderbolt Dr , Jacksonville FL 32221-8052. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Daniels, Shada A can be contacted via phone (904) 365-0105.

Contact Information

Primary practice address
9228 Thunderbolt Dr Jacksonville FL 32221-8052
Phone: (904) 365-0105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1093361685
LBN Legal business name Daniels, Shada A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2019
Last updated Aug 10th, 2019 - about 6 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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