Kingsly, Jill H.
Kingsly, Jill H. is an individual health care provider with primary practice located at 772 Northfield Ave , West Orange NJ 07052-1100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kingsly, Jill H. can be contacted via phone (973) 325-0002.Contact Information
Primary practice address
772 Northfield Ave
West Orange NJ 07052-1100
Phone: (973) 325-0002
Fax: (973) 376-6447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA05568800 | New Jersey |
Profile Details
| NPI number | 1992732937 |
|---|---|
| LBN Legal business name | Kingsly, Jill H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Feb 5th, 2014 - about 10 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 | 1992732937 | NPPES |
| New Jersey | MEDICAID | 0000191 |
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