Hollis, Georgette

Hollis, Georgette is an sole proprietor health care provider with primary practice located at 415 16Th St , West Palm Beach FL 33407-6414. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Hollis, Georgette can be contacted via phone (561) 674-6294.

Contact Information

Primary practice address
415 16Th St West Palm Beach FL 33407-6414
Phone: (561) 674-6294
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 256932 Florida

Profile Details

NPI number 1528518792
LBN Legal business name Hollis, Georgette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2016
Last updated Oct 11th, 2016 - about 10 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 1528518792 NPPES
Florida MEDICAID 639864

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