Bacchus, Michael Andre

Bacchus, Michael Andre is an sole proprietor health care provider with primary practice located at 31 Gaetano Ln , Coram NY 11727. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Bacchus, Michael Andre can be contacted via phone (631) 624-8348.

Contact Information

Primary practice address
31 Gaetano Ln Coram NY 11727
Phone: (631) 624-8348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 292701-1 New York

Profile Details

NPI number 1760885263
LBN Legal business name Bacchus, Michael Andre
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2014
Last updated Sep 29th, 2014 - 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.

Request for update

Popular Providers