Faulk, Constance Stitt

Faulk, Constance Stitt is an individual health care provider with primary practice located at 3968 Hunters Lake Cir W , Jacksonville FL 32210-4667. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Faulk, Constance Stitt can be contacted via phone (904) 779-2355.

Contact Information

Primary practice address
3968 Hunters Lake Cir W Jacksonville FL 32210-4667
Phone: (904) 779-2355
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Florida

Profile Details

NPI number 1497054696
LBN Legal business name Faulk, Constance Stitt
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2011
Last updated Mar 28th, 2011 - about 15 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 1497054696 NPPES
Florida MEDICAID 682598298
Florida MEDICAID 682598296

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