Deitrick, Judy L
Deitrick, Judy L is an sole proprietor health care provider with primary practice located at 2631 Dunn Ave , Jacksonville FL 32218-4656. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Deitrick, Judy L can be contacted via phone (904) 765-3611.Contact Information
Primary practice address
2631 Dunn Ave
Jacksonville FL 32218-4656
Phone: (904) 765-3611
Fax: (904) 765-4256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 2024 | Florida |
Profile Details
| NPI number | 1700933215 |
|---|---|
| LBN Legal business name | Deitrick, Judy L |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Aug 5th, 2008 - about 16 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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