James, Kourtney
James, Kourtney is an sole proprietor health care provider with primary practice located at 715 Lori Dr Apt 304 , Palm Springs FL 33461-7104. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as her primary health care specialty. James, Kourtney can be contacted via phone (772) 267-8759.Contact Information
Primary practice address
715 Lori Dr Apt 304
Palm Springs FL 33461-7104
Phone: (772) 267-8759
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | CL1282037 | Florida |
Profile Details
| NPI number | 1588279434 |
|---|---|
| LBN Legal business name | James, Kourtney |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2020 |
| Last updated | Sep 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588279434 | NPPES |
| Florida | MEDICAID | J520512896770 |
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