Washington, Timika Marie
Washington, Timika Marie is an sole proprietor health care provider with primary practice located at 457 Abello Rd Se , Palm Bay FL 32909-8806. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Washington, Timika Marie can be contacted via phone (321) 616-6181.Contact Information
Primary practice address
457 Abello Rd Se
Palm Bay FL 32909-8806
Phone: (321) 616-6181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X |
Profile Details
| NPI number | 1295202190 |
|---|---|
| LBN Legal business name | Washington, Timika Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2018 |
| Last updated | Nov 29th, 2018 - about 7 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 | 1295202190 | NPPES |
| Florida | MEDICAID | 024705100 |
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