Kossove, Jill
Kossove, Jill is an individual health care provider with primary practice located at 10 Forest Ave , Paramus NJ 07652-5242. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kossove, Jill can be contacted via phone (201) 291-4040.Contact Information
Primary practice address
10 Forest Ave
Paramus NJ 07652-5242
Phone: (201) 291-4040
Fax: (201) 291-0404
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00125200 | New Jersey |
Profile Details
NPI number | 1124021589 |
---|---|
LBN Legal business name | Kossove, Jill |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2005 |
Last updated | Dec 7th, 2016 - about 9 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 | 1124021589 | NPPES |
New Jersey | Other | 161635466 | TAX IDENTIFICATION # |
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