Jeter, Cortlyn

Jeter, Cortlyn is an individual health care provider with primary practice located at 703 Main St Dept Of Emerg Medicine, Paterson NJ 07503-2621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Jeter, Cortlyn can be contacted via phone (973) 754-2040.

Contact Information

Primary practice address
703 Main St Dept Of Emerg Medicine Paterson NJ 07503-2621
Phone: (973) 754-2040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MA06215400 New Jersey

Profile Details

NPI number 1336215516
LBN Legal business name Jeter, Cortlyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Oct 2nd, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336215516 NPPES
New Jersey MEDICAID 8517801

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