Wegener, Jill Marie
Wegener, Jill Marie is an sole proprietor health care provider with primary practice located at 292 Main St , Staten Island NY 10307-1724. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Wegener, Jill Marie can be contacted via phone (718) 966-8543.Contact Information
Primary practice address
292 Main St
Staten Island NY 10307-1724
Phone: (718) 966-8543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 390175-1 | New York |
Profile Details
| NPI number | 1972702447 |
|---|---|
| LBN Legal business name | Wegener, Jill Marie |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Jul 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972702447 | NPPES |
| New York | MEDICAID | 02247950 |
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