Wilson, Luequayn Tae
Wilson, Luequayn Tae is an sole proprietor health care provider with primary practice located at 3001 Aloma Ave # 219 , Winter Park FL 32792-3752. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Wilson, Luequayn Tae can be contacted via phone (407) 497-7409.Contact Information
Primary practice address
3001 Aloma Ave # 219
Winter Park FL 32792-3752
Phone: (407) 497-7409
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | Florida |
Profile Details
| NPI number | 1366979643 |
|---|---|
| LBN Legal business name | Wilson, Luequayn Tae |
| Credentials | NURSE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1366979643 | NPPES |
| Florida | MEDICAID | 2017051710580007 |
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