Madera, Jesus A.

Madera, Jesus A. is an individual health care provider with primary practice located at 1111 Hudson St. E. , Lehigh Acres FL 33974. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Madera, Jesus A. can be contacted via phone (239) 369-5029.

Contact Information

Primary practice address
1111 Hudson St. E. Lehigh Acres FL 33974
Phone: (239) 369-5029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1841621067
LBN Legal business name Madera, Jesus A.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2013
Last updated Dec 13th, 2013 - 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.

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