Kiddy, John Edward
Kiddy, John Edward is an sole proprietor health care provider with primary practice located at 777 Glades Rd , Boca Raton FL 33431-6424. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as his primary health care specialty. Kiddy, John Edward can be contacted via phone (561) 297-2043.Contact Information
Primary practice address
777 Glades Rd
Boca Raton FL 33431-6424
Phone: (561) 297-2043
Fax: (561) 297-0468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other | 246Z00000X | AL2789 | Florida |
Profile Details
| NPI number | 1013172543 |
|---|---|
| LBN Legal business name | Kiddy, John Edward |
| Credentials | MS, ATC, LAT, CSCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2008 |
| Last updated | Apr 24th, 2012 - about 14 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 | 1013172543 | NPPES |
| Other | 03070219 | NATABOC CERTIFIED ATHLETIC TRAINER |
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