Deichen, Kathleen Anne
Deichen, Kathleen Anne is an individual health care provider with primary practice located at 242 N Orlando Ave , Maitland FL 32751-5506. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Deichen, Kathleen Anne can be contacted via phone (407) 599-0210.Contact Information
Primary practice address
242 N Orlando Ave
Maitland FL 32751-5506
Phone: (407) 599-0210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS56692 | Florida |
Profile Details
| NPI number | 1629632534 |
|---|---|
| LBN Legal business name | Deichen, Kathleen Anne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2019 |
| Last updated | Apr 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629632534 | NPPES |
| Florida | Other | PS56692 | PHARMACIST LICENSE |
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