Beauchard, Roselene Peggy

Beauchard, Roselene Peggy is an sole proprietor health care provider with primary practice located at 7 Capt Shankey Dr , Garnerville NY 10923-1326. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Beauchard, Roselene Peggy can be contacted via phone (845) 429-4347.

Contact Information

Primary practice address
7 Capt Shankey Dr Garnerville NY 10923-1326
Phone: (845) 429-4347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 190670-1 New York

Profile Details

NPI number 1942481486
LBN Legal business name Beauchard, Roselene Peggy
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2007
Last updated Nov 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942481486 NPPES
New York MEDICAID 01033623

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