Anderson, Jill Leslie

Anderson, Jill Leslie is an individual health care provider with primary practice located at 4940 Eastern Ave B-121, Baltimore MD 21224-2735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Anderson, Jill Leslie can be contacted via phone (410) 550-0465.

Contact Information

Primary practice address
4940 Eastern Ave B-121 Baltimore MD 21224-2735
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0002230 Maryland

Profile Details

NPI number 1366606097
LBN Legal business name Anderson, Jill Leslie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2008
Last updated Jul 11th, 2008 - about 18 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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