Jacobs, Mavis

Jacobs, Mavis is an sole proprietor health care provider with primary practice located at 8055 Cornish Ave , Elmhurst NY 11373-3728. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Jacobs, Mavis can be contacted via phone (718) 899-6258.

Contact Information

Primary practice address
8055 Cornish Ave Elmhurst NY 11373-3728
Phone: (718) 899-6258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 528003-1 New York

Profile Details

NPI number 1073889416
LBN Legal business name Jacobs, Mavis
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2012
Last updated Mar 29th, 2012 - about 12 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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