Roque, Paulette Rena

Roque, Paulette Rena is an sole proprietor health care provider with primary practice located at 113 Caroline St , Canastota NY 13032-1204. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Roque, Paulette Rena can be contacted via phone (315) 875-5024.

Contact Information

Primary practice address
113 Caroline St Canastota NY 13032-1204
Phone: (315) 875-5024
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 215367-1 New York

Profile Details

NPI number 1750426508
LBN Legal business name Roque, Paulette Rena
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 8th, 2007 - about 19 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 1750426508 NPPES
New York MEDICAID 01999182

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