Everett, Joel

Everett, Joel is an individual health care provider with primary practice located at 1130 Beville Rd , Daytona Beach FL 32114-5743. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Everett, Joel can be contacted via phone (386) 253-6051.

Contact Information

Primary practice address
1130 Beville Rd Daytona Beach FL 32114-5743
Phone: (386) 253-6051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0003272 Florida

Profile Details

NPI number 1710195607
LBN Legal business name Everett, Joel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Aug 19th, 2019 - about 5 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 1710195607 NPPES
Florida Other 94854 BCBS GROUP#
Florida Other 1275640997 BCBS GROUP#

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