Ingram, Chaquita

Ingram, Chaquita is an sole proprietor health care provider with primary practice located at 2690 Somerset Dr Apt Z307 , Lauderdale Lakes FL 33311-9475. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Ingram, Chaquita can be contacted via phone (561) 709-9436.

Contact Information

Primary practice address
2690 Somerset Dr Apt Z307 Lauderdale Lakes FL 33311-9475
Phone: (561) 709-9436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X FTCA-CLI-1024-430 Florida

Profile Details

NPI number 1417692625
LBN Legal business name Ingram, Chaquita
Credentials COUNSELOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2022
Last updated May 11th, 2022 - about 2 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 1417692625 NPPES
Florida Other FTCA-CLI-1024-430 PASTORAL LICENSE

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