Bacchus, Debra Ann

Bacchus, Debra Ann is an individual health care provider with primary practice located at 13010 144Th St , Jamaica NY 11436-2214. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Bacchus, Debra Ann can be contacted via phone (718) 781-5417.

Contact Information

Primary practice address
13010 144Th St Jamaica NY 11436-2214
Phone: (718) 781-5417
Fax: (718) 322-7480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist 225500000X

Profile Details

NPI number 1083086912
LBN Legal business name Bacchus, Debra Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2015
Last updated Oct 30th, 2015 - about 10 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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