Wendela, Jill

Wendela, Jill is an individual health care provider with primary practice located at 106 S Perry St Ste 4, Watkins Glen NY 14891-1615. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wendela, Jill can be contacted via phone (607) 535-8140.

Contact Information

Primary practice address
106 S Perry St Ste 4 Watkins Glen NY 14891-1615
Phone: (607) 535-8140
Fax: (607) 535-8157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 533970 New York

Profile Details

NPI number 1134360308
LBN Legal business name Wendela, Jill
Credentials RPN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2009
Last updated Apr 27th, 2017 - about 9 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 1134360308 NPPES
New York MEDICAID 533970

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