Jefferson, Kalisha Shevoin
Jefferson, Kalisha Shevoin is an sole proprietor health care provider with primary practice located at 565 Herbert St , Saint Augustine FL 32084-4074. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Jefferson, Kalisha Shevoin can be contacted via phone (904) 466-8993.Contact Information
Primary practice address
565 Herbert St
Saint Augustine FL 32084-4074
Phone: (904) 466-8993
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | CNA23616 | Florida |
Profile Details
| NPI number | 1982169330 |
|---|---|
| LBN Legal business name | Jefferson, Kalisha Shevoin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2019 |
| Last updated | Feb 8th, 2019 - about 7 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 | 1982169330 | NPPES |
| Florida | MEDICAID | 831531406 |
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