Jack, Dwight Sheldon

Jack, Dwight Sheldon is an sole proprietor health care provider with primary practice located at 24123 148Th Ave , Rosedale NY 11422-3265. He recently has only one registered license in Nursing Service Providers / General Practice, which is considered as his primary health care specialty. Jack, Dwight Sheldon can be contacted via phone (718) 723-1083.

Contact Information

Primary practice address
24123 148Th Ave Rosedale NY 11422-3265
Phone: (718) 723-1083
Fax: (718) 723-1083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 548498 New York

Profile Details

NPI number 1184883365
LBN Legal business name Jack, Dwight Sheldon
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2008
Last updated Jun 3rd, 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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