Nussbaumer, Trina Giddens
Nussbaumer, Trina Giddens is an sole proprietor health care provider with primary practice located at 3261 Us Hwy 441, Suite B-3 , Fruitland Park FL 34731-4497. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Nussbaumer, Trina Giddens can be contacted via phone (352) 326-0612.Contact Information
Primary practice address
3261 Us Hwy 441, Suite B-3
Fruitland Park FL 34731-4497
Phone: (352) 326-0612
Fax: (352) 787-2386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA 3668 | Florida |
Profile Details
| NPI number | 1639256381 |
|---|---|
| LBN Legal business name | Nussbaumer, Trina Giddens |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | May 28th, 2024 - about 2 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 | 1639256381 | NPPES |
| Florida | MEDICAID | 885297900 | |
| Florida | MEDICAID | 812099400 |
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