Medders, Jade Marie

Medders, Jade Marie is an sole proprietor health care provider with primary practice located at 725 Dunlawton Ave #291938, Port Orange FL 32129-7001. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Pharmacy Service Providers / Pharmacy Technician. Emergency Medical Service Providers / Emergency Medical Technician, Basic is her primary health care specialty. Medders, Jade Marie can be contacted via phone (386) 562-4070.

Contact Information

Primary practice address
725 Dunlawton Ave #291938 Port Orange FL 32129-7001
Phone: (386) 562-4070
Fax: (386) 492-6941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X EMT509305 Florida
Pharmacy Service Providers / Pharmacy Technician 183700000X 280101040340690 District of Columbia

Profile Details

NPI number 1750626172
LBN Legal business name Medders, Jade Marie
Credentials EMT-B
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2012
Last updated Oct 4th, 2016 - about 8 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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