Eastman, Jillian L
Eastman, Jillian L is an individual health care provider with primary practice located at 945 E. Genesee Street Suite 200, Syracuse NY 13210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Eastman, Jillian L can be contacted via phone (315) 475-0689.Contact Information
Primary practice address
945 E. Genesee Street Suite 200
Syracuse NY 13210
Phone: (315) 475-0689
Fax: (315) 234-3276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F334811 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 7334811-1 | New York |
Profile Details
| NPI number | 1336253285 |
|---|---|
| LBN Legal business name | Eastman, Jillian L |
| Credentials | NPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jan 15th, 2010 - about 14 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 | 1336253285 | NPPES |
| New York | MEDICAID | 00334811 | |
| New York | Other | RB5823 |
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