Williams, Jean Maxine

Williams, Jean Maxine is an sole proprietor health care provider with primary practice located at 7108 S Shamrock Rd , Tampa FL 33616-2135. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Williams, Jean Maxine can be contacted via phone (813) 831-6795.

Contact Information

Primary practice address
7108 S Shamrock Rd Tampa FL 33616-2135
Phone: (813) 831-6795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1336581669
LBN Legal business name Williams, Jean Maxine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2013
Last updated Jul 29th, 2013 - about 11 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 1336581669 NPPES
Florida MEDICAID 141491700

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