Deneau, Edward James

Deneau, Edward James is an individual health care provider with primary practice located at 930 Mar Walt Dr , Fort Walton Beach FL 32547. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Deneau, Edward James can be contacted via phone (850) 374-8000.

Contact Information

Primary practice address
930 Mar Walt Dr Fort Walton Beach FL 32547
Phone: (850) 374-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 3501003129 Michigan
Other Service Providers / Specialist 174400000X AS5539 Florida

Profile Details

NPI number 1952435786
LBN Legal business name Deneau, Edward James
Credentials BC-HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 5th, 2021 - about 3 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 1952435786 NPPES
Florida MEDICAID 1952435786
Florida Other 1952435786
Florida Other 540E600460
Florida Other 540E610720

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