Kukowski, Jayme A
Kukowski, Jayme A is an individual health care provider with primary practice located at 13813 Metro Pkwy , Fort Myers FL 33912-4343. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kukowski, Jayme A can be contacted via phone (239) 936-1343.Contact Information
Primary practice address
13813 Metro Pkwy
Fort Myers FL 33912-4343
Phone: (239) 936-1343
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ND4405 | Florida |
Profile Details
| NPI number | 1841414356 |
|---|---|
| LBN Legal business name | Kukowski, Jayme A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Mar 22nd, 2012 - about 12 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 | 1841414356 | NPPES |
| Florida | Other | AE289Y | MEDICARE |
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