Lee, Jacqueline

Lee, Jacqueline is an sole proprietor health care provider with primary practice located at 45 Caddy Rd , Rotonda West FL 33947-2217. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Lee, Jacqueline can be contacted via phone (941) 661-2643.

Contact Information

Primary practice address
45 Caddy Rd Rotonda West FL 33947-2217
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 232306 Florida

Profile Details

NPI number 1225371065
LBN Legal business name Lee, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2013
Last updated Mar 29th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225371065 NPPES
Florida MEDICAID 689465896

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