Weise, Elizabeth V
Weise, Elizabeth V is an sole proprietor health care provider with primary practice located at 2360 Madrid Ave Se , Palm Bay FL 32909-6427. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Weise, Elizabeth V can be contacted via phone (321) 956-8141.Contact Information
Primary practice address
2360 Madrid Ave Se
Palm Bay FL 32909-6427
Phone: (321) 956-8141
Fax: (321) 768-1220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL9646 | Florida |
Profile Details
| NPI number | 1215278916 |
|---|---|
| LBN Legal business name | Weise, Elizabeth V |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2013 |
| Last updated | Nov 2nd, 2023 - about last year |
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 | 1215278916 | NPPES |
| Florida | MEDICAID | 001156500 |
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