Roque Blanco, Jorge Amado
Roque Blanco, Jorge Amado is an sole proprietor health care provider with primary practice located at 1412 Juddale St E , Lehigh Acres FL 33936-5812. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Roque Blanco, Jorge Amado can be contacted via phone (239) 240-4511.Contact Information
Primary practice address
1412 Juddale St E
Lehigh Acres FL 33936-5812
Phone: (239) 240-4511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1992220453 |
|---|---|
| LBN Legal business name | Roque Blanco, Jorge Amado |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2017 |
| Last updated | Jul 21st, 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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