James, Rachael Kimberlyn

James, Rachael Kimberlyn is an individual health care provider with primary practice located at 3504 N Lecanto Hwy Ste D, Beverly Hills FL 34465. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. James, Rachael Kimberlyn can be contacted via phone (352) 419-4856.

Contact Information

Primary practice address
3504 N Lecanto Hwy Ste D Beverly Hills FL 34465
Phone: (352) 419-4856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1124740188
LBN Legal business name James, Rachael Kimberlyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2022
Last updated Sep 16th, 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 1124740188 NPPES
Florida MEDICAID 1017003300

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