Myrthil, Chasity Jacquel
Myrthil, Chasity Jacquel is an individual health care provider with primary practice located at 4425 Old Ridge Rd , Williamson NY 14589-9363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Myrthil, Chasity Jacquel can be contacted via phone (315) 483-3280.Contact Information
Primary practice address
4425 Old Ridge Rd
Williamson NY 14589-9363
Phone: (315) 483-3280
Fax: (315) 589-4893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 344413 | New York |
Profile Details
| NPI number | 1033771654 |
|---|---|
| LBN Legal business name | Myrthil, Chasity Jacquel |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2019 |
| Last updated | Jul 3rd, 2019 - about 5 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 | 1033771654 | NPPES |
| New York | Other | 14480124 | CAQH |
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