Zajac, Jennifer Lee
Zajac, Jennifer Lee is an individual health care provider with primary practice located at 1575 Washington St , Watertown NY 13601-9371. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Zajac, Jennifer Lee can be contacted via phone (315) 785-4155.Contact Information
Primary practice address
1575 Washington St
Watertown NY 13601-9371
Phone: (315) 785-4155
Fax: (315) 779-5066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 420663 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 002171 | New York |
Profile Details
| NPI number | 1609965565 |
|---|---|
| LBN Legal business name | Zajac, Jennifer Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 17th, 2024 - about 2 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 | 1609965565 | NPPES |
| New York | MEDICAID | 03400828 |
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