Provider Demographics
NPI: | 1598319410 |
---|---|
Name: | JOEANNETHOMASJOSEPH - JEBS CONSULTANTS |
Entity type: | Organization |
Organization Name: | JOEANNETHOMASJOSEPH - JEBS CONSULTANTS |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | SERVICE PROVIDER & CONSULTANT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JOEANNE |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | THOMAS JOSEPH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | CERTIFIED |
Authorized Official - Phone: | 239-491-4700 |
Mailing Address - Street 1: | 3108 6TH ST W |
Mailing Address - Street 2: | |
Mailing Address - City: | LEHIGH ACRES |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33971-1460 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 239-491-4700 |
Mailing Address - Fax: | 239-491-4700 |
Practice Address - Street 1: | 3108 6TH ST W |
Practice Address - Street 2: | |
Practice Address - City: | LEHIGH ACRES |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33971-1460 |
Practice Address - Country: | US |
Practice Address - Phone: | 239-491-4700 |
Practice Address - Fax: | 239-491-4700 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-07-29 |
Last Update Date: | 2023-11-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 246YC3302X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Health Information | Coding Specialist, Physician Office Based | Group - Multi-Specialty |
No | 171W00000X | Other Service Providers | Contractor | Group - Multi-Specialty | |
No | 174400000X | Other Service Providers | Specialist | Group - Multi-Specialty | |
No | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer | Group - Multi-Specialty |
No | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | Group - Multi-Specialty | |
No | 246Z00000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Group - Multi-Specialty | |
No | 374700000X | Nursing Service Related Providers | Technician | Group - Multi-Specialty | |
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | ||
No | 347C00000X | Transportation Services | Private Vehicle | ||
No | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | Group - Single Specialty | |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Single Specialty | |
No | 171R00000X | Other Service Providers | Interpreter | Group - Single Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | 10095XX | Other | FLORIDA NOTARY SIGNING AGENT |
FL | 168391XX | Other | NPN NATIONAL PRODUCER |
FL | 1701222XX | Other | FCC ERATE CONSULTANT |
FL | 0792136XX | Other | DUNN REGISTRATION |
FL | 2049072XX | Other | SAM |
FL | W12218XX | Other | FLORIDA FINANCIAL AGENT |
179006XX | Other | CMS/HHS AGENT/BROKER/ CONSULTANT | |
FL | 2079072XX | Other | CBE/MBE/WBE |
FL | 357XX | Other | DOD CAGE |
FL | 1811541725XXX | Other | NPI |
FL | 468015203795XX | Other | FLDOR |
FL | 468015203795XX | Other | FLDOR CERTIFICATE |
FL | 5638XX | Other | HUBZONE |
FL | 00259449XX | Other | FRN REGISTRATION |
FL | 1430495XX | Other | CRN 498 |
FL | 2049072XX | Other | SBA WOSB |
FL | 2049072XX | Other | US HUD SECTION 3 BUSINESS CONCERN |