Deloache, Carolyn L
Deloache, Carolyn L is an individual health care provider with primary practice located at 850 E Main St , Lake Butler FL 32054-1353. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Deloache, Carolyn L can be contacted via phone (386) 496-2323.Contact Information
Primary practice address
850 E Main St
Lake Butler FL 32054-1353
Phone: (386) 496-2323
Fax: (352) 495-3401
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1699072 | Florida |
Profile Details
NPI number | 1740253780 |
---|---|
LBN Legal business name | Deloache, Carolyn L |
Credentials | MSN ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1740253780 | NPPES |
Florida | Other | 59-Q22623 | CHAMPION |
Popular Providers
-
Waterhouse, Andrea E
395 W Main St , Lake Butler FL 32054-1642 -
Bonnett, Rachel Jakab
725 Rodel Cv , Lake Mary FL 32746-4859 -
Waszak, Louise C
4520 W Us Highway 90 , Lake City FL 32055-8341 -
Chewning, Kelly Melinda
850 E Main St , Lake Butler FL 32054-1353 -
Parrish, Jamie Lynn
15995 W State Road 238 , Lake Butler FL 32054-8501 -
Greco, Jasna
8954 Lantana Rd , Lake Worth FL 33467-6112 -
Anderson, Bethany Ann
15995 W State Road 238 , Lake Butler FL 32054-8501 -
Delgado-Santiago, Jennifer
752 Stirling Center Pl Ste 1008 , Lake Mary FL 32746-4889