Times, Alice
Times, Alice is an sole proprietor health care provider with primary practice located at 2363 Se Brekenridge Cir , Port St Lucie FL 34952-8139. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Times, Alice can be contacted via phone (954) 200-1595.Contact Information
Primary practice address
2363 Se Brekenridge Cir
Port St Lucie FL 34952-8139
Phone: (954) 200-1595
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
NPI number | 1043771637 |
---|---|
LBN Legal business name | Times, Alice |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 27th, 2019 |
Last updated | Mar 27th, 2019 - 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 | 1043771637 | NPPES |
Florida | MEDICAID | 800137625 |
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