Basile, Laurajean
Basile, Laurajean is an sole proprietor health care provider with primary practice located at 5 Continental Dr , Port Jefferson Station NY 11776-4211. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Basile, Laurajean can be contacted via phone (631) 828-6021.Contact Information
Primary practice address
5 Continental Dr
Port Jefferson Station NY 11776-4211
Phone: (631) 828-6021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 263269-1 | New York |
Profile Details
| NPI number | 1578642286 |
|---|---|
| LBN Legal business name | Basile, Laurajean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 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 | 1578642286 | NPPES |
| New York | MEDICAID | 02556370 |
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