Thekkethottiyil, Jomon John

Thekkethottiyil, Jomon John is an sole proprietor health care provider with primary practice located at 4024 Central Ave , St Petersburg FL 33711-1239. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Thekkethottiyil, Jomon John can be contacted via phone (727) 327-7656.

Contact Information

Primary practice address
4024 Central Ave St Petersburg FL 33711-1239
Phone: (727) 327-7656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW10806 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X SW10806 Florida

Profile Details

NPI number 1023376894
LBN Legal business name Thekkethottiyil, Jomon John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2012
Last updated Jun 18th, 2012 - about 14 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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