Jaeckle, Lisa

Jaeckle, Lisa is an individual health care provider with primary practice located at 220 Fluvanna Ave , Jamestown NY 14701-2052. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jaeckle, Lisa can be contacted via phone (716) 487-1131.

Contact Information

Primary practice address
220 Fluvanna Ave Jamestown NY 14701-2052
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 204983 New York

Profile Details

NPI number 1003356072
LBN Legal business name Jaeckle, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2017
Last updated Feb 24th, 2017 - about 9 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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