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
Fax: (772) 675-9100
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811348113 NPPES
Florida MEDICAID 019454500

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