Jean Charles, Evena

Jean Charles, Evena is an sole proprietor health care provider with primary practice located at 1551 Dozier Cir Se , Palm Bay FL 32909-6535. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Jean Charles, Evena can be contacted via phone (321) 723-8383.

Contact Information

Primary practice address
1551 Dozier Cir Se Palm Bay FL 32909-6535
Phone: (321) 723-8383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1992116149
LBN Legal business name Jean Charles, Evena
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2014
Last updated May 9th, 2014 - about 10 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 1992116149 NPPES
Florida MEDICAID 6906630

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