Machaliwa, Jacqueline Shandelle

Machaliwa, Jacqueline Shandelle is an sole proprietor health care provider with primary practice located at 17401 Commerce Park Blvd Ste 1000 , Tampa FL 33647-3501. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Machaliwa, Jacqueline Shandelle can be contacted via phone (813) 900-1118.

Contact Information

Primary practice address
17401 Commerce Park Blvd Ste 1000 Tampa FL 33647-3501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1053829705
LBN Legal business name Machaliwa, Jacqueline Shandelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2018
Last updated Jul 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053829705 NPPES
Illinois MEDICAID 823901801
Illinois MEDICAID 823901801

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