Bender, Jill
Bender, Jill is an individual health care provider with primary practice located at 335 Glessner Ave , Mansfield OH 44903-2269. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bender, Jill can be contacted via phone (419) 524-8151.Contact Information
Primary practice address
335 Glessner Ave
Mansfield OH 44903-2269
Phone: (419) 524-8151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 50002549 | Ohio |
Profile Details
| NPI number | 1831260421 |
|---|---|
| LBN Legal business name | Bender, Jill |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jan 25th, 2022 - about 3 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 | 1831260421 | NPPES |
| Ohio | MEDICAID | 0069505 |
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