Deicke, Adair Lynne

Deicke, Adair Lynne is an sole proprietor health care provider with primary practice located at 2740 Coconut Bay Ln Unit 3G , Sarasota FL 34237-3055. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Deicke, Adair Lynne can be contacted via phone (727) 239-9938.

Contact Information

Primary practice address
2740 Coconut Bay Ln Unit 3G Sarasota FL 34237-3055
Phone: (727) 239-9938
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0941812 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 941812 Florida

Profile Details

NPI number 1922185628
LBN Legal business name Deicke, Adair Lynne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Sep 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922185628 NPPES
Florida MEDICAID 303680400

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