Smith Shillingford, Lucille
Smith Shillingford, Lucille is an sole proprietor health care provider with primary practice located at 2004 Darlington Dr. , Tampa FL 33619-5718. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Smith Shillingford, Lucille can be contacted via phone (813) 417-1352.Contact Information
Primary practice address
2004 Darlington Dr.
Tampa FL 33619-5718
Phone: (813) 417-1352
Fax: (813) 665-4394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Florida |
Profile Details
| NPI number | 1346540630 |
|---|---|
| LBN Legal business name | Smith Shillingford, Lucille |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2010 |
| Last updated | Nov 2nd, 2010 - about 14 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 | 1346540630 | NPPES |
| Florida | MEDICAID | 677683398 | |
| Florida | MEDICAID | 677683396 |
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