Kiessling, Jay J
Kiessling, Jay J is an individual health care provider with primary practice located at 5401 Peach St Ste 3600 , Erie PA 16509-2601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kiessling, Jay J can be contacted via phone (814) 868-2170.Contact Information
Primary practice address
5401 Peach St Ste 3600
Erie PA 16509-2601
Phone: (814) 868-2170
Fax: (814) 868-2108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD040102L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD040102L | Pennsylvania |
Profile Details
| NPI number | 1386731248 |
|---|---|
| LBN Legal business name | Kiessling, Jay J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Apr 6th, 2023 - about last year |
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 | 1386731248 | NPPES |
| Pennsylvania | MEDICAID | 1026721580002 |
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