Prosper, Jeanne
Prosper, Jeanne is an individual health care provider with primary practice located at 27 West 69Th Street Suite A, New York NY 10023-4740. She recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as her primary health care specialty. Prosper, Jeanne can be contacted via phone (212) 579-0914.Contact Information
Primary practice address
27 West 69Th Street Suite A
New York NY 10023-4740
Phone: (212) 579-0914
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Ocularist | 156FX1700X |
Profile Details
| NPI number | 1114116530 |
|---|---|
| LBN Legal business name | Prosper, Jeanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2007 |
| Last updated | Oct 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114116530 | NPPES |
| New York | MEDICAID | 00342443 |
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