Madden, Kateria Shantal
Madden, Kateria Shantal is an sole proprietor health care provider with primary practice located at 1065 Mathers St , Melbourne FL 32935-6176. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Madden, Kateria Shantal can be contacted via phone (407) 820-4041.Contact Information
Primary practice address
1065 Mathers St
Melbourne FL 32935-6176
Phone: (407) 820-4041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | Florida |
Profile Details
| NPI number | 1598351629 |
|---|---|
| LBN Legal business name | Madden, Kateria Shantal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2020 |
| Last updated | Dec 14th, 2020 - about 4 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 | 1598351629 | NPPES |
| Florida | MEDICAID | M350517938860 |
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