Diaz, Jennifer

Diaz, Jennifer is an sole proprietor health care provider with primary practice located at 2429 Culver Rd , Rochester NY 14609-1745. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Diaz, Jennifer can be contacted via phone (585) 755-8494.

Contact Information

Primary practice address
2429 Culver Rd Rochester NY 14609-1745
Phone: (585) 755-8494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 309206 New York

Profile Details

NPI number 1669730792
LBN Legal business name Diaz, Jennifer
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2012
Last updated Aug 12th, 2022 - about 4 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 1669730792 NPPES
New York MEDICAID 1669730792

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