Slack, Denise
Slack, Denise is an individual health care provider with primary practice located at 185 Genesee St , Utica NY 13501-2102. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Slack, Denise can be contacted via phone (315) 798-5249.Contact Information
Primary practice address
185 Genesee St
Utica NY 13501-2102
Phone: (315) 798-5249
Fax: (315) 731-3491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1114399847 |
|---|---|
| LBN Legal business name | Slack, Denise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2015 |
| Last updated | Oct 21st, 2015 - about 9 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 | 1114399847 | NPPES |
| New York | MEDICAID | 0474268 |
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