Stafford, Colleen Marie
Stafford, Colleen Marie is an sole proprietor health care provider with primary practice located at 5897 Rt 281 , Little York NY 13087. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Stafford, Colleen Marie can be contacted via phone (607) 423-6465.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 1207621 | New York |
Profile Details
| NPI number | 1881863181 |
|---|---|
| LBN Legal business name | Stafford, Colleen Marie |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2008 |
| Last updated | Feb 21st, 2008 - about 16 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 | 1881863181 | NPPES |
| New York | MEDICAID | 01933848 |
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