Edouard, Chantal
Edouard, Chantal is an individual health care provider with primary practice located at 1650 Medical Ln Suite 4, Fort Myers FL 33907-1116. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Edouard, Chantal can be contacted via phone (239) 334-6160.Contact Information
Primary practice address
1650 Medical Ln Suite 4
Fort Myers FL 33907-1116
Phone: (239) 334-6160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1831244920 |
|---|---|
| LBN Legal business name | Edouard, Chantal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Feb 23rd, 2009 - about 15 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 | 1831244920 | NPPES |
| Florida | MEDICAID | 811683100 |
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