Smith, Willesha Trevess
Smith, Willesha Trevess is an sole proprietor health care provider with primary practice located at 5684 Elsinore Way , Lakeland FL 33805-2660. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Smith, Willesha Trevess can be contacted via phone (863) 617-3689.Contact Information
Primary practice address
5684 Elsinore Way
Lakeland FL 33805-2660
Phone: (863) 617-3689
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | Florida |
Profile Details
| NPI number | 1245879550 |
|---|---|
| LBN Legal business name | Smith, Willesha Trevess |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2020 |
| Last updated | Jan 3rd, 2020 - about 5 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 | 1245879550 | NPPES |
| Florida | MEDICAID | 024490600 |
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