Boss, Donna Jean

Boss, Donna Jean is an individual health care provider with primary practice located at 102 Park St Cr Wood Cancer Center, Glens Falls NY 12801-4403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Boss, Donna Jean can be contacted via phone (518) 926-6620.

Contact Information

Primary practice address
102 Park St Cr Wood Cancer Center Glens Falls NY 12801-4403
Phone: (518) 926-6620
Fax: (518) 926-1954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002440 New York

Profile Details

NPI number 1962483172
LBN Legal business name Boss, Donna Jean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jun 5th, 2012 - about 12 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 1962483172 NPPES
New York Other P00007864 RR MEDICARE
New York MEDICAID 01280304 RR MEDICARE

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