Acosta, Jacqueline

Acosta, Jacqueline is an sole proprietor health care provider with primary practice located at 57 Evan Rd , Warwick NY 10990-4019. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Acosta, Jacqueline can be contacted via phone (845) 629-5569.

Contact Information

Primary practice address
57 Evan Rd Warwick NY 10990-4019
Phone: (845) 629-5569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 296012 New York

Profile Details

NPI number 1801382312
LBN Legal business name Acosta, Jacqueline
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2018
Last updated Jul 9th, 2018 - about 8 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 1801382312 NPPES
Other 296012 LPN LICENSE NUMBER

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