Krafchick, Roxanne Gordon
Krafchick, Roxanne Gordon is an sole proprietor health care provider with primary practice located at 3027 San Diego Rd , Jacksonville FL 32207-3691. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as her primary health care specialty. Krafchick, Roxanne Gordon can be contacted via phone (904) 492-7744.Contact Information
Primary practice address
3027 San Diego Rd
Jacksonville FL 32207-3691
Phone: (904) 492-7744
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | Florida |
Profile Details
| NPI number | 1306484464 |
|---|---|
| LBN Legal business name | Krafchick, Roxanne Gordon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2019 |
| Last updated | Jun 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306484464 | NPPES |
| Florida | MEDICAID | 0 |
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