Ketterer, Jaclyn
Ketterer, Jaclyn is an individual health care provider with primary practice located at 394 Old Dutch Hollow Rd , Monroe NY 10950-4575. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Ketterer, Jaclyn can be contacted via phone (845) 313-8154.Contact Information
Primary practice address
394 Old Dutch Hollow Rd
Monroe NY 10950-4575
Phone: (845) 313-8154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1346705407 |
|---|---|
| LBN Legal business name | Ketterer, Jaclyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2019 |
| Last updated | Feb 4th, 2019 - about 5 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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