Palmer, Ida Marie

Palmer, Ida Marie is an sole proprietor health care provider with primary practice located at 6722 Arlington Expy # 570 , Jacksonville FL 32211-7234. She recently has only one registered license in Behavioral Health & Social Service Providers / Health, which is considered as her primary health care specialty. Palmer, Ida Marie can be contacted via phone (904) 601-8426.

Contact Information

Primary practice address
6722 Arlington Expy # 570 Jacksonville FL 32211-7234
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 103TH0100X Florida

Profile Details

NPI number 1992362404
LBN Legal business name Palmer, Ida Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2019
Last updated May 21st, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992362404 NPPES
Florida MEDICAID G18000033026

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