Lopez, Jacqueline Marie

Lopez, Jacqueline Marie is an individual health care provider with primary practice located at 301 E Main St , Bay Shore NY 11706-8408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Lopez, Jacqueline Marie can be contacted via phone (516) 521-3744.

Contact Information

Primary practice address
301 E Main St Bay Shore NY 11706-8408
Phone: (516) 521-3744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 23015496 New York

Profile Details

NPI number 1477828952
LBN Legal business name Lopez, Jacqueline Marie
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2012
Last updated Jun 13th, 2019 - about 6 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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