Repp, Jacqueline

Repp, Jacqueline is an sole proprietor health care provider with primary practice located at 2000 Lehigh Station Rd , Henrietta NY 14467-9620. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Repp, Jacqueline can be contacted via phone (585) 359-5560.

Contact Information

Primary practice address
2000 Lehigh Station Rd Henrietta NY 14467-9620
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 391557 New York

Profile Details

NPI number 1891061263
LBN Legal business name Repp, Jacqueline
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2012
Last updated Mar 29th, 2012 - about 13 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 1891061263 NPPES
New York MEDICAID 01497492

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