Mcken, Roxanne

Mcken, Roxanne is an sole proprietor health care provider with primary practice located at 18640 139Th Ave , Springfield Gardens NY 11413-2601. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mcken, Roxanne can be contacted via phone (917) 862-5215.

Contact Information

Primary practice address
18640 139Th Ave Springfield Gardens NY 11413-2601
Fax: (718) 347-4643
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 202185 New York

Profile Details

NPI number 1205963733
LBN Legal business name Mcken, Roxanne
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 9th, 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 1205963733 NPPES
New York MEDICAID 01455036

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