Hoose, Jennifer Lisa

Hoose, Jennifer Lisa is an sole proprietor health care provider with primary practice located at 262 Canal St , Montour Falls NY 14865-9600. She recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as her primary health care specialty. Hoose, Jennifer Lisa can be contacted via phone (607) 535-7517.

Contact Information

Primary practice address
262 Canal St Montour Falls NY 14865-9600
Phone: (607) 535-7517
Fax: (607) 535-7802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X 480379-1 New York

Profile Details

NPI number 1770840597
LBN Legal business name Hoose, Jennifer Lisa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2012
Last updated Apr 18th, 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 1770840597 NPPES
New York MEDICAID 15-6002322

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