Glenn, Sheneke

Glenn, Sheneke is an sole proprietor health care provider with primary practice located at 564 Mason Dr , Havana FL 32333-5365. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Glenn, Sheneke can be contacted via phone (757) 897-2562.

Contact Information

Primary practice address
564 Mason Dr Havana FL 32333-5365
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X Florida

Profile Details

NPI number 1316543374
LBN Legal business name Glenn, Sheneke
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2020
Last updated Dec 7th, 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 1316543374 NPPES
Florida MEDICAID 85-2960957

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