Young, Nakesha
Young, Nakesha is an sole proprietor health care provider with primary practice located at 135 Manseau Dr , Winter Haven FL 33880-1719. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Young, Nakesha can be contacted via phone (863) 595-6212.Contact Information
Primary practice address
135 Manseau Dr
Winter Haven FL 33880-1719
Phone: (863) 595-6212
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | 6906525 | Florida |
Profile Details
NPI number | 1427464163 |
---|---|
LBN Legal business name | Young, Nakesha |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 2nd, 2014 |
Last updated | Dec 21st, 2017 - about 8 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 | 1427464163 | NPPES |
Florida | MEDICAID | 004488200 |
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