Lepage, Brenda
Lepage, Brenda is an sole proprietor health care provider with primary practice located at 133 Park St , Malone NY 12953-1220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lepage, Brenda can be contacted via phone (518) 856-0044.Contact Information
Primary practice address
133 Park St
Malone NY 12953-1220
Phone: (518) 856-0044
Fax: (518) 856-0088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 334946 | New York |
Profile Details
| NPI number | 1790799898 |
|---|---|
| LBN Legal business name | Lepage, Brenda |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Aug 6th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790799898 | NPPES |
| New York | Other | RB1158 | ALICE HYDE MEDICAL CENTER |
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