Fennell, Sheila Renee

Fennell, Sheila Renee is an sole proprietor health care provider with primary practice located at 309 Avenue F , Port St Joe FL 32456-1421. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Fennell, Sheila Renee can be contacted via phone (850) 229-8280.

Contact Information

Primary practice address
309 Avenue F Port St Joe FL 32456-1421
Phone: (850) 229-8280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1467628784
LBN Legal business name Fennell, Sheila Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2008
Last updated May 6th, 2008 - about 16 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 1467628784 NPPES
Florida MEDICAID 693532096

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