Distafano, Josephine
Distafano, Josephine is an sole proprietor health care provider with primary practice located at 4905 Lantana Rd , Lake Worth FL 33463-6915. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Distafano, Josephine can be contacted via phone (855) 408-5780.Contact Information
Primary practice address
4905 Lantana Rd
Lake Worth FL 33463-6915
Phone: (855) 408-5780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1922870138 |
|---|---|
| LBN Legal business name | Distafano, Josephine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2023 |
| Last updated | Oct 23rd, 2023 - about 3 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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