Thompson, Jacqueline A
Thompson, Jacqueline A is an sole proprietor health care provider with primary practice located at 184 Heathecote Road , Elmont NY 11003. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Thompson, Jacqueline A can be contacted via phone (515) 616-5941.Contact Information
Primary practice address
184 Heathecote Road
Elmont NY 11003
Phone: (515) 616-5941
Fax: (718) 358-7473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 00164089 | New York |
Profile Details
| NPI number | 1053447979 |
|---|---|
| LBN Legal business name | Thompson, Jacqueline A |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053447979 | NPPES |
| New York | Other | 00164089 | NY STATE NURSING LICENSE |
| New York | MEDICAID | PBH | NY STATE NURSING LICENSE |
| New York | MEDICAID | 01945711 | NY STATE NURSING LICENSE |
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