Bellamy, Stephanie L
Bellamy, Stephanie L is an sole proprietor health care provider with primary practice located at 3056 W. 1St Street , Jacksonville FL 32254-2539. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Bellamy, Stephanie L can be contacted via phone (904) 388-7086.Contact Information
Primary practice address
3056 W. 1St Street
Jacksonville FL 32254-2539
Phone: (904) 388-7086
Fax: (904) 388-7086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL10793 | Florida |
Profile Details
| NPI number | 1801198460 |
|---|---|
| LBN Legal business name | Bellamy, Stephanie L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2010 |
| Last updated | Mar 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801198460 | NPPES |
| Florida | MEDICAID | 142571400 | |
| Florida | Other | 142571496 | |
| Florida | MEDICAID | 310400000X |
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