Laurenceau, Joel

Laurenceau, Joel is an sole proprietor health care provider with primary practice located at 2561 Sw Grotto Cir , Port Saint Lucie FL 34953-2927. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Laurenceau, Joel can be contacted via phone (786) 333-7288.

Contact Information

Primary practice address
2561 Sw Grotto Cir Port Saint Lucie FL 34953-2927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1477151884
LBN Legal business name Laurenceau, Joel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2020
Last updated Oct 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477151884 NPPES
Florida Other L652-425-70-173-0 DRIVER LICENSE

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