Patterson, Devora Wheeler

Patterson, Devora Wheeler is an sole proprietor health care provider with primary practice located at 21490 Ne 37Th Pl , Williston FL 32696-7014. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Patterson, Devora Wheeler can be contacted via phone (352) 528-9442.

Contact Information

Primary practice address
21490 Ne 37Th Pl Williston FL 32696-7014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 688535796 Florida

Profile Details

NPI number 1831409465
LBN Legal business name Patterson, Devora Wheeler
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2010
Last updated Oct 17th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831409465 NPPES
Florida Other 688535796 MEDICAID PROVIDER ID NUMBER

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