Bagnall, Jennel L
Bagnall, Jennel L is an individual health care provider with primary practice located at 108-19 Rockaway Blvd , Ozone Park NY 11420. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bagnall, Jennel L can be contacted via phone (718) 845-2620.Contact Information
Primary practice address
108-19 Rockaway Blvd
Ozone Park NY 11420
Phone: (718) 845-2620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 00071443 | New York |
Profile Details
| NPI number | 1265560635 |
|---|---|
| LBN Legal business name | Bagnall, Jennel L |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Apr 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265560635 | NPPES |
| New York | MEDICAID | 00071443 |
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