Brasie, Jacqueline L
Brasie, Jacqueline L is an sole proprietor health care provider with primary practice located at 5740 State Route 13 Lot 21, Chittenango NY 13037-4101. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Brasie, Jacqueline L can be contacted via phone (315) 655-2043.Contact Information
Primary practice address
5740 State Route 13 Lot 21
Chittenango NY 13037-4101
Phone: (315) 655-2043
Fax: (315) 655-2043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 256871-1 | New York |
Profile Details
| NPI number | 1629146618 |
|---|---|
| LBN Legal business name | Brasie, Jacqueline L |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629146618 | NPPES |
| New York | MEDICAID | 02198103 |
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