Rock, Jennifer
Rock, Jennifer is an individual health care provider with primary practice located at 55 Elm St , Glens Falls NY 12801-3549. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Rock, Jennifer can be contacted via phone (518) 793-7273.Contact Information
Primary practice address
55 Elm St
Glens Falls NY 12801-3549
Phone: (518) 793-7273
Fax: (518) 798-5004
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
NPI number | 1215299664 |
---|---|
LBN Legal business name | Rock, Jennifer |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2012 |
Last updated | Jun 12th, 2012 - about 12 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 | 1215299664 | NPPES |
New York | MEDICAID | 03008326 |
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