Tyrell Chambers, Joan
Tyrell Chambers, Joan is an sole proprietor health care provider with primary practice located at 728 S Endeavour Dr , Winter Springs FL 32708-5167. She recently has only one registered license in Agencies / Foster Care Agency, which is considered as her primary health care specialty. Tyrell Chambers, Joan can be contacted via phone (407) 462-5613.Contact Information
Primary practice address
728 S Endeavour Dr
Winter Springs FL 32708-5167
Phone: (407) 462-5613
Fax: (407) 699-4255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Foster Care Agency | 253J00000X | 18307100308 | Florida |
Profile Details
| NPI number | 1851566905 |
|---|---|
| LBN Legal business name | Tyrell Chambers, Joan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Apr 29th, 2008 - about 16 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 | 1851566905 | NPPES |
| Florida | MEDICAID | 230569100 |
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