Joo, Jeannie S
Joo, Jeannie S is an sole proprietor health care provider with primary practice located at 118 Broad Ave Suite N4, Palisades Park NJ 07650-2717. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Joo, Jeannie S can be contacted via phone (201) 945-7222.Contact Information
Primary practice address
118 Broad Ave Suite N4
Palisades Park NJ 07650-2717
Phone: (201) 945-7222
Fax: (201) 945-7222
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 28RJ00612 | New Jersey |
Profile Details
NPI number | 1033550017 |
---|---|
LBN Legal business name | Joo, Jeannie S |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 8th, 2013 |
Last updated | Jul 8th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033550017 | NPPES |
New Jersey | Other | 28RJ00612 | LICENSE |
New Jersey | Other | 28RS00398200 | LICENSE |
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