Perdue-Dorathy, Jacqueline Sue

Perdue-Dorathy, Jacqueline Sue is an sole proprietor health care provider with primary practice located at 550 Pope Ave , Fort Leavenworth KS 66027-2332. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Perdue-Dorathy, Jacqueline Sue can be contacted via phone (913) 681-6170.

Contact Information

Primary practice address
550 Pope Ave Fort Leavenworth KS 66027-2332
Phone: (913) 681-6170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 23-27018-081 Kansas

Profile Details

NPI number 1285854828
LBN Legal business name Perdue-Dorathy, Jacqueline Sue
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 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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