Ettiene, Javan
Ettiene, Javan is an sole proprietor health care provider with primary practice located at 7904 Lasalle Blvd , Miramar FL 33023-4500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Ettiene, Javan can be contacted via phone (954) 934-4265.Contact Information
Primary practice address
7904 Lasalle Blvd
Miramar FL 33023-4500
Phone: (954) 934-4265
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN11013397 | Florida |
Profile Details
| NPI number | 1174197164 |
|---|---|
| LBN Legal business name | Ettiene, Javan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2021 |
| Last updated | Jun 11th, 2021 - about 3 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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