Fell, Deborah Jo

Fell, Deborah Jo is an sole proprietor health care provider with primary practice located at 7097 Ontario Center Rd , Ontario NY 14519-9566. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Fell, Deborah Jo can be contacted via phone (315) 524-6694.

Contact Information

Primary practice address
7097 Ontario Center Rd Ontario NY 14519-9566
Fax: (315) 524-6694
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 221673 New York

Profile Details

NPI number 1003980707
LBN Legal business name Fell, Deborah Jo
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003980707 NPPES
New York MEDICAID 01654535

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