Hagelberg, Jacqueline M.

Hagelberg, Jacqueline M. is an individual health care provider with primary practice located at 2101 Lac Deville Blvd. Greater Rochester Neurology, Rochester NY 14618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hagelberg, Jacqueline M. can be contacted via phone (585) 546-3265.

Contact Information

Primary practice address
2101 Lac Deville Blvd. Greater Rochester Neurology Rochester NY 14618
Phone: (585) 546-3265
Fax: (585) 232-5158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F331417-1 New York

Profile Details

NPI number 1285621904
LBN Legal business name Hagelberg, Jacqueline M.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Nov 24th, 2009 - about 17 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 1285621904 NPPES
New York MEDICAID 03096435

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