Jefferson, Willie L

Jefferson, Willie L is an sole proprietor health care provider with primary practice located at 19351 Jefferson Rd , White Springs FL 32096. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Jefferson, Willie L can be contacted via phone (386) 397-1879.

Contact Information

Primary practice address
19351 Jefferson Rd White Springs FL 32096
Phone: (386) 397-1879
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1275848996
LBN Legal business name Jefferson, Willie L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2010
Last updated Aug 18th, 2010 - about 15 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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