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:
Health care specialties
Specialty | Code | License # | 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 12 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 | 1689656019 | NPPES |
Florida | MEDICAID | 390163700 |
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