Hendrie, Jamie M

Hendrie, Jamie M is an sole proprietor health care provider with primary practice located at 25 Hopkins Rd , Williamsville NY 14221-4641. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Hendrie, Jamie M can be contacted via phone (716) 632-8050.

Contact Information

Primary practice address
25 Hopkins Rd Williamsville NY 14221-4641
Phone: (716) 632-8050
Fax: (716) 632-2297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F382244-1 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 382244 New York

Profile Details

NPI number 1730465493
LBN Legal business name Hendrie, Jamie M
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2011
Last updated Feb 5th, 2013 - about 11 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 1730465493 NPPES
New York MEDICAID 03431261

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