Wiggan, Maxine

Wiggan, Maxine is an sole proprietor health care provider with primary practice located at 929 Gilmore Ave , Lakeland FL 33801-1887. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Wiggan, Maxine can be contacted via phone (407) 575-5683.

Contact Information

Primary practice address
929 Gilmore Ave Lakeland FL 33801-1887
Phone: (407) 575-5683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN 9174105 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1740677822
LBN Legal business name Wiggan, Maxine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2015
Last updated Mar 15th, 2016 - about 9 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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