Denault, Albert C

Denault, Albert C is an sole proprietor health care provider with primary practice located at 311 Manatee Ave E , Bradenton FL 34208. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Denault, Albert C can be contacted via phone (941) 749-0626.

Contact Information

Primary practice address
311 Manatee Ave E Bradenton FL 34208
Phone: (941) 749-0626
Fax: (941) 749-0618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2367 Florida

Profile Details

NPI number 1689656019
LBN Legal business name Denault, Albert C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Jan 22nd, 2013 - about 11 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 1689656019 NPPES
Florida MEDICAID 390163700

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