Slack, Cheyenne

Slack, Cheyenne is an sole proprietor health care provider with primary practice located at 23 Brittany Ct , Northport NY 11768-3225. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Slack, Cheyenne can be contacted via phone (631) 834-5420.

Contact Information

Primary practice address
23 Brittany Ct Northport NY 11768-3225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 340734 New York

Profile Details

NPI number 1386236818
LBN Legal business name Slack, Cheyenne
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2021
Last updated Sep 27th, 2021 - about 3 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 1386236818 NPPES
Other 12345678 12345678
Other 340734 12345678

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