Thompson, Jacqueline A

Thompson, Jacqueline A is an sole proprietor health care provider with primary practice located at 184 Heathecote Road , Elmont NY 11003. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Thompson, Jacqueline A can be contacted via phone (515) 616-5941.

Contact Information

Primary practice address
184 Heathecote Road Elmont NY 11003
Fax: (718) 358-7473
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 00164089 New York

Profile Details

NPI number 1053447979
LBN Legal business name Thompson, Jacqueline A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Jul 9th, 2007 - about 18 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 1053447979 NPPES
New York Other 00164089 NY STATE NURSING LICENSE
New York MEDICAID PBH NY STATE NURSING LICENSE
New York MEDICAID 01945711 NY STATE NURSING LICENSE

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