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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992116149 | NPPES |
| Florida | MEDICAID | 6906630 |
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