Emmett, Myra Elaine

Emmett, Myra Elaine is an individual health care provider with primary practice located at 2441 N 9Th Ave Ste B , Pensacola FL 32503-3989. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Emmett, Myra Elaine can be contacted via phone (850) 741-9004.

Contact Information

Primary practice address
2441 N 9Th Ave Ste B Pensacola FL 32503-3989
Phone: (850) 741-9004
Fax: (850) 416-7348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1417977380
LBN Legal business name Emmett, Myra Elaine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Mar 23rd, 2020 - about 4 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 1417977380 NPPES
Florida MEDICAID 758230700

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