Bernard, Jackee Michelle

Bernard, Jackee Michelle is an sole proprietor health care provider with primary practice located at 4610 61St St , Woodside NY 11377-5766. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Bernard, Jackee Michelle can be contacted via phone (718) 791-9490.

Contact Information

Primary practice address
4610 61St St Woodside NY 11377-5766
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1639672397
LBN Legal business name Bernard, Jackee Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2018
Last updated Mar 8th, 2018 - about 6 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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