Guillaume, Josette Marie

Guillaume, Josette Marie is an sole proprietor health care provider with primary practice located at 120 2Nd Street , Brentwood NY 11717. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Guillaume, Josette Marie can be contacted via phone (631) 273-6065.

Contact Information

Primary practice address
120 2Nd Street Brentwood NY 11717
Phone: (631) 273-6065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2214541 New York

Profile Details

NPI number 1023295334
LBN Legal business name Guillaume, Josette Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2008
Last updated Jan 29th, 2008 - about 16 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 1023295334 NPPES
New York MEDICAID 02073949

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