Dugan, Jessica S
Dugan, Jessica S is an sole proprietor health care provider with primary practice located at 4813 Innisbrook Ct S , Elkton FL 32033-2067. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Other Service Providers / Specialist. Agencies / Early Intervention Provider Agency is her primary health care specialty. Dugan, Jessica S can be contacted via phone (904) 874-2661.Contact Information
Primary practice address
4813 Innisbrook Ct S
Elkton FL 32033-2067
Phone: (904) 874-2661
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Early Intervention Provider Agency | 252Y00000X | 888731100 | Florida |
Other Service Providers / Specialist | 174400000X | 888731100 | Florida |
Profile Details
NPI number | 1316091093 |
---|---|
LBN Legal business name | Dugan, Jessica S |
Credentials | ITDS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 22nd, 2007 |
Last updated | Mar 5th, 2018 - 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 | 1316091093 | NPPES |
Florida | MEDICAID | 8117420 00 |
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