Dandridge, Jacqueline R.

Dandridge, Jacqueline R. is an sole proprietor health care provider with primary practice located at 29 Wendy Dr , Poughkeepsie NY 12603-6017. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Dandridge, Jacqueline R. can be contacted via phone (845) 298-2176.

Contact Information

Primary practice address
29 Wendy Dr Poughkeepsie NY 12603-6017
Phone: (845) 298-2176
Fax: (845) 298-2176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2498221 New York

Profile Details

NPI number 1992841696
LBN Legal business name Dandridge, Jacqueline R.
Credentials LPN LICENSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jul 9th, 2007 - about 18 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 1992841696 NPPES
New York MEDICAID 01805834

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