Blue, Oletha Ednetta
Blue, Oletha Ednetta is an sole proprietor health care provider with primary practice located at 1917 Montague St , Lake Worth Beach FL 33461-6057. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Blue, Oletha Ednetta can be contacted via phone (156) 135-2972.Contact Information
Primary practice address
1917 Montague St
Lake Worth Beach FL 33461-6057
Phone: (156) 135-2972
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 237709 | Florida |
Profile Details
| NPI number | 1427627496 |
|---|---|
| LBN Legal business name | Blue, Oletha Ednetta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2021 |
| Last updated | Jun 23rd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427627496 | NPPES |
| Florida | MEDICAID | B400645796870 | |
| Florida | Other | B400645796870 | |
| Florida | Other | B400645796870 |
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