Legary, Elizabeth

Legary, Elizabeth is an individual health care provider with primary practice located at 421 S Keech St , Daytona Beach FL 32114-4623. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Legary, Elizabeth can be contacted via phone (386) 238-4980.

Contact Information

Primary practice address
421 S Keech St Daytona Beach FL 32114-4623
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1942327069
LBN Legal business name Legary, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated May 13th, 2008 - about 16 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 1942327069 NPPES
Florida MEDICAID 764224500

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