Machaliwa, Jacqueline Shandelle
Machaliwa, Jacqueline Shandelle is an sole proprietor health care provider with primary practice located at 17401 Commerce Park Blvd Ste 1000 , Tampa FL 33647-3501. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Machaliwa, Jacqueline Shandelle can be contacted via phone (813) 900-1118.Contact Information
Primary practice address
17401 Commerce Park Blvd Ste 1000
Tampa FL 33647-3501
Phone: (813) 900-1118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1053829705 |
|---|---|
| LBN Legal business name | Machaliwa, Jacqueline Shandelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2018 |
| Last updated | Jul 20th, 2022 - about 4 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 | 1053829705 | NPPES |
| Illinois | MEDICAID | 823901801 | |
| Illinois | MEDICAID | 823901801 |
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