White, Jean

White, Jean is an sole proprietor health care provider with primary practice located at 665 Madrid Dr , Kissimmee FL 34758-3342. She recently has only one registered license in Agencies / Foster Care Agency, which is considered as her primary health care specialty. White, Jean can be contacted via phone (407) 846-7419.

Contact Information

Primary practice address
665 Madrid Dr Kissimmee FL 34758-3342
Phone: (407) 846-7419
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X 09124200407 Florida

Profile Details

NPI number 1306012190
LBN Legal business name White, Jean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2008
Last updated May 1st, 2008 - 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 1306012190 NPPES
Florida MEDICAID 230258600

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