Jacques, Marie

Jacques, Marie is an sole proprietor health care provider with primary practice located at 1 Ford Dr S , Massapequa NY 11758-3717. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jacques, Marie can be contacted via phone (516) 795-6435.

Contact Information

Primary practice address
1 Ford Dr S Massapequa NY 11758-3717
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 337440 New York

Profile Details

NPI number 1770839151
LBN Legal business name Jacques, Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2012
Last updated Jan 9th, 2018 - about 7 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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