Jolly, Linda S
Jolly, Linda S is an individual health care provider with primary practice located at 800 Virginia Ave Ste 59 F , Fort Pierce FL 34982-5892. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Jolly, Linda S can be contacted via phone (772) 468-9333.Contact Information
Primary practice address
800 Virginia Ave Ste 59 F
Fort Pierce FL 34982-5892
Phone: (772) 468-9333
Fax: (772) 468-9360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | Florida |
Profile Details
| NPI number | 1922108703 |
|---|---|
| LBN Legal business name | Jolly, Linda S |
| Credentials | WSC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1922108703 | NPPES |
| Florida | MEDICAID | 68994868 |
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