Alexander-Gottesman, Jill

Alexander-Gottesman, Jill is an sole proprietor health care provider with primary practice located at 1357 W 6Th St , Erie PA 16505-2503. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Alexander-Gottesman, Jill can be contacted via phone (814) 455-1544.

Contact Information

Primary practice address
1357 W 6Th St Erie PA 16505-2503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS007709L Pennsylvania

Profile Details

NPI number 1346352481
LBN Legal business name Alexander-Gottesman, Jill
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Aug 4th, 2021 - about 4 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 1346352481 NPPES
Pennsylvania MEDICAID 102596950
Pennsylvania Other 604255
Pennsylvania MEDICAID 1025969500001

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