Beck, Datonya

Beck, Datonya is an sole proprietor health care provider with primary practice located at 4649 Colchester Rd , Jacksonville FL 32208-1110. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Beck, Datonya can be contacted via phone (352) 239-7179.

Contact Information

Primary practice address
4649 Colchester Rd Jacksonville FL 32208-1110
Phone: (352) 239-7179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 251S00000X Florida

Profile Details

NPI number 1679007793
LBN Legal business name Beck, Datonya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2017
Last updated Apr 14th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679007793 NPPES
Florida MEDICAID 01811700

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