Ham, Jill Ann
Ham, Jill Ann is an individual health care provider with primary practice located at 19465 Deerfield Ave Ste 101 , Leesburg VA 20176-1702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ham, Jill Ann can be contacted via phone (703) 726-9720.Contact Information
Primary practice address
19465 Deerfield Ave Ste 101
Leesburg VA 20176-1702
Phone: (703) 726-9720
Fax: (703) 726-9721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71002526A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024173256 | Virginia |
Profile Details
| NPI number | 1164611752 |
|---|---|
| LBN Legal business name | Ham, Jill Ann |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2007 |
| Last updated | Mar 26th, 2024 - about 6 months 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 | 1164611752 | NPPES |
| Other | P00833898 | RAILROAD MEDICARE | |
| MEDICAID | 200888840 | RAILROAD MEDICARE |
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