Lacroix, Charleane Chantell

Lacroix, Charleane Chantell is an sole proprietor health care provider with primary practice located at 1 Van Wyck Plz , Jamaica NY 11418-2826. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Lacroix, Charleane Chantell can be contacted via phone (718) 206-6290.

Contact Information

Primary practice address
1 Van Wyck Plz Jamaica NY 11418-2826
Phone: (718) 206-6290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 001401 New York

Profile Details

NPI number 1447568308
LBN Legal business name Lacroix, Charleane Chantell
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2010
Last updated Jan 10th, 2012 - about 13 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 1447568308 NPPES
New York MEDICAID 00695941

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