Rose, Jacqueline E
Rose, Jacqueline E is an individual health care provider with primary practice located at 789 Gilmore Ave , North Tonawanda NY 14120-6743. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Rose, Jacqueline E can be contacted via phone (716) 807-3753.Contact Information
Primary practice address
789 Gilmore Ave
North Tonawanda NY 14120-6743
Phone: (716) 807-3753
Fax: (716) 870-3751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 39487 | New York |
Profile Details
| NPI number | 1922383595 |
|---|---|
| LBN Legal business name | Rose, Jacqueline E |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2011 |
| Last updated | Oct 14th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922383595 | NPPES |
| New York | MEDICAID | 01377162 |
Popular Providers
-
Lowry, Dawn Faith
175 Humphrey St , North Tonawanda NY 14120-4009 -
Mims, Gretchen Ann
81 Bolton Trl , North Chili NY 14514-9774 -
Wittman, Mary Rose
100 Hinds St , Tonawanda NY 14150-1815 -
Capriotti, Kimberly Elizabeth
195 Spruce St , North Tonawanda NY 14120-5664 -
Lyons, Jill W
1500 Vanderbilt Ave , North Tonawanda NY 14120 -
Notz, Matthew Alan
520 Route 22 , North Salem NY 10560 -
Gorman, Amy Margaret
380 Drake Drive Drake Elementary School, North Tonawanda NY 14120 -
Funke, Brocton
333 Dexter Ter , Tonawanda NY 14150-4747