Shackelford, Gloria Jean

Shackelford, Gloria Jean is an sole proprietor health care provider with primary practice located at 114 W Orange St , Wauchula FL 33873. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Shackelford, Gloria Jean can be contacted via phone (863) 773-5646.

Contact Information

Primary practice address
114 W Orange St Wauchula FL 33873
Phone: (863) 773-5646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA33289 Florida

Profile Details

NPI number 1609261056
LBN Legal business name Shackelford, Gloria Jean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2015
Last updated Apr 2nd, 2015 - about 9 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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