Gottshalk, Lucille
Gottshalk, Lucille is an sole proprietor health care provider with primary practice located at 3071 Sw 2Nd St , Fort Lauderdale FL 33312-1207. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Gottshalk, Lucille can be contacted via phone (646) 248-8494.Contact Information
Primary practice address
3071 Sw 2Nd St
Fort Lauderdale FL 33312-1207
Phone: (646) 248-8494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 233696 | Florida |
Profile Details
| NPI number | 1992152516 |
|---|---|
| LBN Legal business name | Gottshalk, Lucille |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2016 |
| Last updated | May 24th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992152516 | NPPES |
| Florida | MEDICAID | 010887300 |
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