Declue, Jeyce
Declue, Jeyce is an sole proprietor health care provider with primary practice located at 3049 Brighton 6Th St , Brooklyn NY 11235-6409. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Declue, Jeyce can be contacted via phone (718) 872-5721.Contact Information
Primary practice address
3049 Brighton 6Th St
Brooklyn NY 11235-6409
Phone: (718) 872-5721
Fax: (718) 872-5722
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | N006064 | New York |
Profile Details
NPI number | 1306827514 |
---|---|
LBN Legal business name | Declue, Jeyce |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 7th, 2005 |
Last updated | Nov 20th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306827514 | NPPES |
New York | MEDICAID | 02953419 |
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