Poole, Anita Louise
Poole, Anita Louise is an individual health care provider with primary practice located at 1403 Forest Dr , Sanford FL 32771-4656. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Poole, Anita Louise can be contacted via phone (407) 328-7992.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1164581633 | Florida |
Profile Details
NPI number | 1669631768 |
---|---|
LBN Legal business name | Poole, Anita Louise |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 3rd, 2008 |
Last updated | Jul 18th, 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 | 1669631768 | NPPES |
Florida | MEDICAID | 1164581633 |
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