Ottley, An Jalique C

Ottley, An Jalique C is an sole proprietor health care provider with primary practice located at 2419 Davis Blvd , Fort Myers FL 33905-4844. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Community Health Worker, Other Service Providers / Naturopath, Transportation Services / Private Vehicle. Other Service Providers / Community Health Worker is her primary health care specialty. Ottley, An Jalique C can be contacted via phone (239) 333-9557.

Contact Information

Primary practice address
2419 Davis Blvd Fort Myers FL 33905-4844
Phone: (239) 333-9557
Fax: (239) 694-5360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Naturopath 175F00000X
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1063847135
LBN Legal business name Ottley, An Jalique C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2013
Last updated Sep 9th, 2013 - about 13 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.

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