Stevens, Ethel Harriet

Stevens, Ethel Harriet is an sole proprietor health care provider with primary practice located at 12365 152Nd St N , Jupiter FL 33478-3558. She recently has only one registered license in Other Service Providers / Lodging, which is considered as her primary health care specialty. Stevens, Ethel Harriet can be contacted via phone (561) 222-6503.

Contact Information

Primary practice address
12365 152Nd St N Jupiter FL 33478-3558
Phone: (561) 222-6503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X

Profile Details

NPI number 1437390291
LBN Legal business name Stevens, Ethel Harriet
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2009
Last updated Mar 9th, 2009 - about 17 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 1437390291 NPPES
Florida MEDICAID 23928849

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