Doyle, Jacquelyn G

Doyle, Jacquelyn G is an individual health care provider with primary practice located at 601 Elmwood Ave Box Surg, Rochester NY 14642-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Doyle, Jacquelyn G can be contacted via phone (585) 275-2876.

Contact Information

Primary practice address
601 Elmwood Ave Box Surg Rochester NY 14642-0001
Fax: (585) 273-1288
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X F430094 New York

Profile Details

NPI number 1497952717
LBN Legal business name Doyle, Jacquelyn G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Mar 25th, 2011 - about 13 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 1497952717 NPPES
New York MEDICAID 02096679

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