Herron, Betty Ann

Herron, Betty Ann is an sole proprietor health care provider with primary practice located at 7200 San Miguel Dr , Port Richey FL 34668-5031. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Herron, Betty Ann can be contacted via phone (727) 848-3468.

Contact Information

Primary practice address
7200 San Miguel Dr Port Richey FL 34668-5031
Fax: (727) 842-6401
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 332B00000X Florida

Profile Details

NPI number 1396905972
LBN Legal business name Herron, Betty Ann
Credentials OWNER OPERATOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2008
Last updated Jun 17th, 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 1396905972 NPPES
Florida Other 332B00000X CNT

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