Bacchus, Shameila

Bacchus, Shameila is an individual health care provider with primary practice located at 4 Coolidge Ave , Glen Head NY 11545-1506. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Bacchus, Shameila can be contacted via phone (516) 343-0779.

Contact Information

Primary practice address
4 Coolidge Ave Glen Head NY 11545-1506
Phone: (516) 343-0779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 642585 New York

Profile Details

NPI number 1962226704
LBN Legal business name Bacchus, Shameila
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2024
Last updated Nov 8th, 2024 - about 2 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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