Rambo, Jacqueline

Rambo, Jacqueline is an individual health care provider with primary practice located at 5225 Nesconset Highway Suite 30 , Port Jefferson Station NY 11776. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Rambo, Jacqueline can be contacted via phone (631) 926-1883.

Contact Information

Primary practice address
5225 Nesconset Highway Suite 30 Port Jefferson Station NY 11776
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 942725151 New York

Profile Details

NPI number 1538531819
LBN Legal business name Rambo, Jacqueline
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2015
Last updated Oct 26th, 2015 - about 11 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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