Declue, Jeyce

Declue, Jeyce is an sole proprietor health care provider with primary practice located at 3049 Brighton 6Th St , Brooklyn NY 11235-6409. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Declue, Jeyce can be contacted via phone (718) 872-5721.

Contact Information

Primary practice address
3049 Brighton 6Th St Brooklyn NY 11235-6409
Phone: (718) 872-5721
Fax: (718) 872-5722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N006064 New York

Profile Details

NPI number 1306827514
LBN Legal business name Declue, Jeyce
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Nov 20th, 2012 - about 14 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 1306827514 NPPES
New York MEDICAID 02953419

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