Deloache, Marie Elcy

Deloache, Marie Elcy is an sole proprietor health care provider with primary practice located at 1165 E 54Th St Apt 6O , Brooklyn NY 11234-2430. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Deloache, Marie Elcy can be contacted via phone (718) 690-6509.

Contact Information

Primary practice address
1165 E 54Th St Apt 6O Brooklyn NY 11234-2430
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 1292901 New York

Profile Details

NPI number 1013471564
LBN Legal business name Deloache, Marie Elcy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2019
Last updated Jan 29th, 2019 - about 6 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 1013471564 NPPES
Pennsylvania Other 0675460013 HSPO
Pennsylvania Other 0675460013 HSPO

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