Thompson, Paulette Purdy

Thompson, Paulette Purdy is an sole proprietor health care provider with primary practice located at 1823 Longwood Key Dr N , Jacksonville FL 32218-3474. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Thompson, Paulette Purdy can be contacted via phone (904) 757-9173.

Contact Information

Primary practice address
1823 Longwood Key Dr N Jacksonville FL 32218-3474
Phone: (904) 757-9173
Fax: (904) 757-4264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1558679324
LBN Legal business name Thompson, Paulette Purdy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2010
Last updated Sep 15th, 2010 - about 16 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 1558679324 NPPES
Florida MEDICAID 693572996
Florida MEDICAID 693572901
Florida MEDICAID 693572902

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