Lyles, Jacqueline Dianne

Lyles, Jacqueline Dianne is an sole proprietor health care provider with primary practice located at 175A Calebs Path , Central Islip NY 11722-1036. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Lyles, Jacqueline Dianne can be contacted via phone (631) 439-1448.

Contact Information

Primary practice address
175A Calebs Path Central Islip NY 11722-1036
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 571191 New York

Profile Details

NPI number 1952530065
LBN Legal business name Lyles, Jacqueline Dianne
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2009
Last updated Jul 9th, 2009 - about 15 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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