Mijares, Eileen Sullivan
Mijares, Eileen Sullivan is an sole proprietor health care provider with primary practice located at 3042 Carlow Cir , Tallahassee FL 32309-3303. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mijares, Eileen Sullivan can be contacted via phone (305) 968-1312.Contact Information
Primary practice address
3042 Carlow Cir
Tallahassee FL 32309-3303
Phone: (305) 968-1312
Fax: (850) 807-5114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA7115 | Florida |
Profile Details
| NPI number | 1962548487 |
|---|---|
| LBN Legal business name | Mijares, Eileen Sullivan |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jan 12th, 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 | 1962548487 | NPPES |
| Florida | MEDICAID | 889101000 | |
| Florida | Other | SA7115 |
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