Earl, Jessica Lynn
Earl, Jessica Lynn is an individual health care provider with primary practice located at 6333 Rte 298 , East Syracuse NY 13057-3126. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Earl, Jessica Lynn can be contacted via phone (680) 207-2874.Contact Information
Primary practice address
6333 Rte 298
East Syracuse NY 13057-3126
Phone: (680) 207-2874
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051409-1 | New York |
Profile Details
| NPI number | 1073790697 |
|---|---|
| LBN Legal business name | Earl, Jessica Lynn |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2008 |
| Last updated | May 13th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073790697 | NPPES |
| New York | MEDICAID | 00893292 |
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