Miles, Joelle Boutwell
Miles, Joelle Boutwell is an sole proprietor health care provider with primary practice located at 647 Jenks Ave Ste B2 , Panama City FL 32401-2660. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Miles, Joelle Boutwell can be contacted via phone (850) 522-1788.Contact Information
Primary practice address
647 Jenks Ave Ste B2
Panama City FL 32401-2660
Phone: (850) 522-1788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | MA31948 | Florida |
Profile Details
| NPI number | 1497806962 |
|---|---|
| LBN Legal business name | Miles, Joelle Boutwell |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1497806962 | NPPES |
| Florida | Other | C2540 | BCBS PROVIDER NUMBER |
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