Washington, Chandra Harris
Washington, Chandra Harris is an sole proprietor health care provider with primary practice located at 2712 Gaillardia Rd , Jacksonville FL 32211. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Washington, Chandra Harris can be contacted via phone (904) 486-0412.Contact Information
Primary practice address
2712 Gaillardia Rd
Jacksonville FL 32211
Phone: (904) 486-0412
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X | Florida |
Profile Details
| NPI number | 1902397276 |
|---|---|
| LBN Legal business name | Washington, Chandra Harris |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2018 |
| Last updated | May 22nd, 2018 - about 8 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 | 1902397276 | NPPES |
| Florida | MEDICAID | 023370200 |
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