Wiman, Daisy Nichole

Wiman, Daisy Nichole is an sole proprietor health care provider with primary practice located at 137 Peckham St Sw , Port Charlotte FL 33952. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is her primary health care specialty. Wiman, Daisy Nichole can be contacted via phone (239) 692-5432.

Contact Information

Primary practice address
137 Peckham St Sw Port Charlotte FL 33952
Phone: (239) 692-5432
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 101Y00000X Florida
Agencies / Early Intervention Provider Agency 252Y00000X Florida

Profile Details

NPI number 1831246453
LBN Legal business name Wiman, Daisy Nichole
Credentials ITDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Feb 18th, 2019 - about 5 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 1831246453 NPPES
Florida MEDICAID 8117161

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