Merritt, Jada Michelle
Merritt, Jada Michelle is an sole proprietor health care provider with primary practice located at 4836 S Us Highway 1 , Fort Pierce FL 34982-7013. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Merritt, Jada Michelle can be contacted via phone (772) 501-2123.Contact Information
Primary practice address
4836 S Us Highway 1
Fort Pierce FL 34982-7013
Phone: (772) 501-2123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
| NPI number | 1679085195 |
|---|---|
| LBN Legal business name | Merritt, Jada Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2017 |
| Last updated | Jun 18th, 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 | 1679085195 | NPPES |
| Florida | MEDICAID | 003014400 |
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