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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1124021589 NPPES
New Jersey Other 161635466 TAX IDENTIFICATION #

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