Head, Marcquitta

Head, Marcquitta is an sole proprietor health care provider with primary practice located at 56 Water St , St Augustine FL 32084-2887. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is her primary health care specialty. Head, Marcquitta can be contacted via phone (727) 364-4024.

Contact Information

Primary practice address
56 Water St St Augustine FL 32084-2887
Phone: (727) 364-4024
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1558853499
LBN Legal business name Head, Marcquitta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2018
Last updated Mar 31st, 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 1558853499 NPPES
Florida Other 1283937 TEACHING CERTIFICATE

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