Jackson-Costello, Caryn Lee
Jackson-Costello, Caryn Lee is an sole proprietor health care provider with primary practice located at 229H Medallion Boulevard , Madeira Beach FL 33708. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Jackson-Costello, Caryn Lee can be contacted via phone (727) 412-0569.Contact Information
Primary practice address
229H Medallion Boulevard
Madeira Beach FL 33708
Phone: (727) 412-0569
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
NPI number | 1023580545 |
---|---|
LBN Legal business name | Jackson-Costello, Caryn Lee |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 21st, 2018 |
Last updated | Dec 21st, 2018 - about 6 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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