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:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1336215516 | NPPES |
| New Jersey | MEDICAID | 8517801 |
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