Ricard, Jillian L

Ricard, Jillian L is an sole proprietor health care provider with primary practice located at 926 Se Belfast Avenue , Port Saint Lucie FL 34983-3498. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Home Modifications. Other Service Providers / Home Modifications is her primary health care specialty. Ricard, Jillian L can be contacted via phone (772) 924-5773.

Contact Information

Primary practice address
926 Se Belfast Avenue Port Saint Lucie FL 34983-3498
Phone: (772) 924-5773
Fax: (772) 924-5773
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Florida
Other Service Providers / Home Modifications 171WH0202X CBC035798 Florida

Profile Details

NPI number 1366953952
LBN Legal business name Ricard, Jillian L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2017
Last updated Jun 30th, 2022 - about 2 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 1366953952 NPPES
Florida Other CBC035798 CERTIFIED BUILDING CONTRACTOR

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