Issa, Sherri
Issa, Sherri is an individual health care provider with primary practice located at 2808 Ne 22Nd St , Fort Lauderdale FL 33305-2804. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Issa, Sherri can be contacted via phone (954) 564-9460.Contact Information
Primary practice address
2808 Ne 22Nd St
Fort Lauderdale FL 33305-2804
Phone: (954) 564-9460
Fax: (954) 564-1371
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW6069 | Florida |
Profile Details
NPI number | 1730164914 |
---|---|
LBN Legal business name | Issa, Sherri |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 11th, 2005 |
Last updated | Sep 22nd, 2011 - about 14 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 | 1730164914 | NPPES |
Florida | Other | Z0803A | MEDICARE PART B |
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