Mielke, Jeannine Boyle
Mielke, Jeannine Boyle is an sole proprietor health care provider with primary practice located at 3 Shircliff Way Suite #333, Jacksonville FL 32204-4757. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Mielke, Jeannine Boyle can be contacted via phone (904) 607-2079.Contact Information
Primary practice address
3 Shircliff Way Suite #333
Jacksonville FL 32204-4757
Phone: (904) 607-2079
Fax: (904) 384-0094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PY0006839 | Florida |
Profile Details
| NPI number | 1831246131 |
|---|---|
| LBN Legal business name | Mielke, Jeannine Boyle |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Aug 1st, 2008 - about 17 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 | 1831246131 | NPPES |
| Florida | Other | 74187 | BCBSF |
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