Pracher, Laurie Jo

Pracher, Laurie Jo is an individual health care provider with primary practice located at 121 Legion Dr , Cobleskill NY 12043-5111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pracher, Laurie Jo can be contacted via phone (518) 234-2555.

Contact Information

Primary practice address
121 Legion Dr Cobleskill NY 12043-5111
Fax: (518) 234-3415
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F330668 New York

Profile Details

NPI number 1588617047
LBN Legal business name Pracher, Laurie Jo
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 14th, 2008 - 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 1588617047 NPPES
New York MEDICAID 02289352

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