Duclos, Dieumy
Duclos, Dieumy is an sole proprietor health care provider with primary practice located at 3960 Arbor Trace Dr Unit B , Lynn Haven FL 32444-6723. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Duclos, Dieumy can be contacted via phone (855) 832-6727.Contact Information
Primary practice address
3960 Arbor Trace Dr Unit B
Lynn Haven FL 32444-6723
Phone: (855) 832-6727
Fax: (772) 675-9100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Florida |
Profile Details
NPI number | 1811348113 |
---|---|
LBN Legal business name | Duclos, Dieumy |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2016 |
Last updated | Mar 13th, 2019 - about 6 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 | 1811348113 | NPPES |
Florida | MEDICAID | 019454500 |
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