Squires, Jeanne R
Squires, Jeanne R is an sole proprietor health care provider with primary practice located at 21 Croydon Ave , Ronkonkoma NY 11779-1947. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Squires, Jeanne R can be contacted via phone (631) 696-7777.Contact Information
Primary practice address
21 Croydon Ave
Ronkonkoma NY 11779-1947
Phone: (631) 696-7777
Fax: (631) 696-1034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R030677 | New York |
Profile Details
| NPI number | 1659452431 |
|---|---|
| LBN Legal business name | Squires, Jeanne R |
| Credentials | LCSW,BCD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jul 9th, 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 | 1659452431 | NPPES |
| New York | Other | 37412P | HIP PROV NUMBER |
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