Baldassare, Theresa Anne
Baldassare, Theresa Anne is an sole proprietor health care provider with primary practice located at 50 Village Trl , Honeoye Falls NY 14472-1036. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Baldassare, Theresa Anne can be contacted via phone (585) 624-1107.Contact Information
Primary practice address
50 Village Trl
Honeoye Falls NY 14472-1036
Phone: (585) 624-1107
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 00249373 | New York |
Profile Details
| NPI number | 1760556120 |
|---|---|
| LBN Legal business name | Baldassare, Theresa Anne |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1760556120 | NPPES |
| New York | MEDICAID | 01986534 |
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