Earl, Jill Van
Earl, Jill Van is an individual health care provider with primary practice located at 3413 Harvest Dr , Gordonville PA 17529-9586. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Earl, Jill Van can be contacted via phone (717) 768-7141.Contact Information
Primary practice address
3413 Harvest Dr
Gordonville PA 17529-9586
Phone: (717) 768-7141
Fax: (717) 768-3528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP010061 | Pennsylvania |
Profile Details
| NPI number | 1982607818 |
|---|---|
| LBN Legal business name | Earl, Jill Van |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | May 27th, 2015 - about 10 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 | 1982607818 | NPPES |
| Pennsylvania | Other | 3647470 | AETNAHMO |
| Pennsylvania | Other | 50038209 | AETNAHMO |
| Pennsylvania | Other | EA1641588 | AETNAHMO |
| Pennsylvania | Other | 7233600 | AETNAHMO |
| Pennsylvania | MEDICAID | 101205598 0001 | AETNAHMO |
| Pennsylvania | Other | 50038208 | AETNAHMO |
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