O'Connor, Loretta Jean

O'Connor, Loretta Jean is an individual health care provider with primary practice located at 1704 State St , Watertown NY 13601-3102. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. O'Connor, Loretta Jean can be contacted via phone (315) 788-7430.

Contact Information

Primary practice address
1704 State St Watertown NY 13601-3102
Phone: (315) 788-7430
Fax: (315) 785-5637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 257735-1 New York

Profile Details

NPI number 1679057939
LBN Legal business name O'Connor, Loretta Jean
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2018
Last updated Sep 17th, 2020 - about 6 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 1679057939 NPPES
New York MEDICAID 3372621

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