Schaefer, Kristine M
Schaefer, Kristine M is an sole proprietor health care provider with primary practice located at 473 Old North Ocean Ave , Patchogue NY 11772-2472. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Schaefer, Kristine M can be contacted via phone (631) 512-3849.Contact Information
Primary practice address
473 Old North Ocean Ave
Patchogue NY 11772-2472
Phone: (631) 512-3849
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 256358-1 | New York |
Profile Details
| NPI number | 1154501658 |
|---|---|
| LBN Legal business name | Schaefer, Kristine M |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2007 |
| Last updated | Nov 13th, 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 | 1154501658 | NPPES |
| New York | MEDICAID | 01866504 |
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