Kallivayalil, Heidi Rubach
Kallivayalil, Heidi Rubach is an sole proprietor health care provider with primary practice located at 13033 Harborton Dr , Jacksonville FL 32224-8498. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kallivayalil, Heidi Rubach can be contacted via phone (904) 894-3213.Contact Information
Primary practice address
13033 Harborton Dr
Jacksonville FL 32224-8498
Phone: (904) 894-3213
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS40287 | Florida |
Profile Details
| NPI number | 1699742726 |
|---|---|
| LBN Legal business name | Kallivayalil, Heidi Rubach |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Aug 24th, 2016 - about 8 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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