Prockish, Jennifer

Prockish, Jennifer is an individual health care provider with primary practice located at 16783 Ives Street Ext , Watertown NY 13601-5312. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Prockish, Jennifer can be contacted via phone (315) 788-5377.

Contact Information

Primary practice address
16783 Ives Street Ext Watertown NY 13601-5312
Phone: (315) 788-5377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 056.007372 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 014852-1 New York

Profile Details

NPI number 1770604316
LBN Legal business name Prockish, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Oct 30th, 2008 - about 16 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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