Deneau, Edward James
Deneau, Edward James is an individual health care provider with primary practice located at 930 Mar Walt Dr , Fort Walton Beach FL 32547. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Deneau, Edward James can be contacted via phone (850) 374-8000.Contact Information
Primary practice address
930 Mar Walt Dr
Fort Walton Beach FL 32547
Phone: (850) 374-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 3501003129 | Michigan |
| Other Service Providers / Specialist | 174400000X | AS5539 | Florida |
Profile Details
| NPI number | 1952435786 |
|---|---|
| LBN Legal business name | Deneau, Edward James |
| Credentials | BC-HIS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Aug 5th, 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 | 1952435786 | NPPES |
| Florida | MEDICAID | 1952435786 | |
| Florida | Other | 1952435786 | |
| Florida | Other | 540E600460 | |
| Florida | Other | 540E610720 |
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