Mckillop, Jacqueline Young
Mckillop, Jacqueline Young is an individual health care provider with primary practice located at 174 Oakdale Rd , Johnson City NY 13790-1049. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mckillop, Jacqueline Young can be contacted via phone (607) 729-0044.Contact Information
Primary practice address
174 Oakdale Rd
Johnson City NY 13790-1049
Phone: (607) 729-0044
Fax: (607) 729-9994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 014468-1 | New York |
Profile Details
| NPI number | 1548397698 |
|---|---|
| LBN Legal business name | Mckillop, Jacqueline Young |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 31st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548397698 | NPPES |
| New York | MEDICAID | 00355344 | |
| New York | Other | BA0135 | |
| New York | Other | 11716304 |
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