Jim, Jacqueline A

Jim, Jacqueline A is an sole proprietor health care provider with primary practice located at 3205 Green Mdw , Baldwinsville NY 13027. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jim, Jacqueline A can be contacted via phone (315) 857-4481.

Contact Information

Primary practice address
3205 Green Mdw Baldwinsville NY 13027
Phone: (315) 857-4481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 008281-1 New York

Profile Details

NPI number 1417186123
LBN Legal business name Jim, Jacqueline A
Credentials OT/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2009
Last updated Aug 6th, 2018 - about 6 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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