Bose, Jill Marie

Bose, Jill Marie is an individual health care provider with primary practice located at 445 Oak St , Copiague NY 11726-3111. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Bose, Jill Marie can be contacted via phone (631) 691-7080.

Contact Information

Primary practice address
445 Oak St Copiague NY 11726-3111
Fax: (631) 691-3387
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 3679801 New York

Profile Details

NPI number 1538244777
LBN Legal business name Bose, Jill Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 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 1538244777 NPPES
New York Other 3679801 LICENSE

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