Sullivan, Jacqueline Marie

Sullivan, Jacqueline Marie is an sole proprietor health care provider with primary practice located at 609 Canton St , Ogdensburg NY 13669-3811. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Sullivan, Jacqueline Marie can be contacted via phone (315) 393-1018.

Contact Information

Primary practice address
609 Canton St Ogdensburg NY 13669-3811
Phone: (315) 393-1018
Fax: (315) 393-1075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 021153 New York

Profile Details

NPI number 1023255395
LBN Legal business name Sullivan, Jacqueline Marie
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2009
Last updated Jan 8th, 2009 - 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.

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