Bober, Jacqueline Grace

Bober, Jacqueline Grace is an individual health care provider with primary practice located at 1000 Montauk Hwy , West Islip NY 11795-4927. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Bober, Jacqueline Grace can be contacted via phone (631) 376-4444.

Contact Information

Primary practice address
1000 Montauk Hwy West Islip NY 11795-4927
Phone: (631) 376-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1982916870
LBN Legal business name Bober, Jacqueline Grace
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2010
Last updated Jul 20th, 2012 - about 13 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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