Wilcox, Jean E.

Wilcox, Jean E. is an sole proprietor health care provider with primary practice located at 514 Gansvoort St , Fulton NY 13069-1607. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wilcox, Jean E. can be contacted via phone (315) 598-3086.

Contact Information

Primary practice address
514 Gansvoort St Fulton NY 13069-1607
Phone: (315) 598-3086
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 237494-1 New York

Profile Details

NPI number 1639351133
LBN Legal business name Wilcox, Jean E.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2007
Last updated Nov 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639351133 NPPES
New York MEDICAID 02362861

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