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
Fax: (201) 945-7222
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033550017 NPPES
New Jersey Other 28RJ00612 LICENSE
New Jersey Other 28RS00398200 LICENSE

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