Cannefax, Walter Wayne
Cannefax, Walter Wayne is an individual health care provider with primary practice located at 600 El Paseo , Lakeland FL 33805-4521. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Cannefax, Walter Wayne can be contacted via phone (863) 519-0575.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1467844555 |
|---|---|
| LBN Legal business name | Cannefax, Walter Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2015 |
| Last updated | Mar 18th, 2020 - about 6 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 | 1467844555 | NPPES |
| Florida | Other | 650 | CERTIFIED BEHAVIORAL HEALTH TECHNICIAN |
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