Peart, Jacqueline
Peart, Jacqueline is an sole proprietor health care provider with primary practice located at 9820 W Heather Ln , Miramar FL 33025-2384. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Peart, Jacqueline can be contacted via phone (754) 423-3632.Contact Information
Primary practice address
9820 W Heather Ln
Miramar FL 33025-2384
Phone: (754) 423-3632
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1700366721 |
|---|---|
| LBN Legal business name | Peart, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2018 |
| Last updated | Aug 19th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700366721 | NPPES |
| Florida | MEDICAID | 20-0199524 |
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