Mathieu, Jean Edward
Mathieu, Jean Edward is an individual health care provider with primary practice located at 2214 N 45Th St , Fort Pierce FL 34946-1536. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Mathieu, Jean Edward can be contacted via phone (901) 364-1278.Contact Information
Primary practice address
2214 N 45Th St
Fort Pierce FL 34946-1536
Phone: (901) 364-1278
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-19-84851 | Florida |
Profile Details
| NPI number | 1003566993 |
|---|---|
| LBN Legal business name | Mathieu, Jean Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2022 |
| Last updated | Mar 24th, 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 | 1003566993 | NPPES |
| Florida | MEDICAID | 103091200 |
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