Canole, Jimmie Dean
Canole, Jimmie Dean is an sole proprietor health care provider with primary practice located at 2979 S Hwy A1A Unit 224, Melbourne Beach FL 32951-2881. He recently has only one registered license in Agencies / Supports Brokerage, which is considered as his primary health care specialty. Canole, Jimmie Dean can be contacted via phone (321) 223-9822.Contact Information
Primary practice address
2979 S Hwy A1A Unit 224
Melbourne Beach FL 32951-2881
Phone: (321) 223-9822
Fax: (321) 723-7720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Supports Brokerage | 251X00000X | A039719 | Florida |
Profile Details
| NPI number | 1659741627 |
|---|---|
| LBN Legal business name | Canole, Jimmie Dean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2015 |
| Last updated | Oct 2nd, 2015 - about 11 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 | 1659741627 | NPPES |
| Florida | Other | 573494 | NATIONAL PRODUCER NUMBER |
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