Loehr, Jacqueline T

Loehr, Jacqueline T is an individual health care provider with primary practice located at 209 Owasco Dr , Port Jefferson NY 11777-1617. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Loehr, Jacqueline T can be contacted via phone (631) 474-1258.

Contact Information

Primary practice address
209 Owasco Dr Port Jefferson NY 11777-1617
Phone: (631) 474-1258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 425431-1 New York

Profile Details

NPI number 1740463256
LBN Legal business name Loehr, Jacqueline T
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2007
Last updated Dec 7th, 2007 - about 17 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 1740463256 NPPES
New York MEDICAID 425431-1

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