Jean-Philippe, Jeannine

Jean-Philippe, Jeannine is an individual health care provider with primary practice located at 1332 Pine Acres Blvd , Bay Shore NY 11706-5438. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jean-Philippe, Jeannine can be contacted via phone (631) 647-7492.

Contact Information

Primary practice address
1332 Pine Acres Blvd Bay Shore NY 11706-5438
Phone: (631) 647-7492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 563558-1 New York

Profile Details

NPI number 1639354731
LBN Legal business name Jean-Philippe, Jeannine
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2008
Last updated Jan 8th, 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 1639354731 NPPES
New York MEDICAID 563558-1

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