Kostick, Jill
Kostick, Jill is an individual health care provider with primary practice located at 642 W Hospital Rd , Paoli IN 47454-9672. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Kostick, Jill can be contacted via phone (812) 353-3087.Contact Information
Primary practice address
642 W Hospital Rd
Paoli IN 47454-9672
Phone: (812) 353-3087
Fax: (812) 353-5859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01050712 | Indiana |
Profile Details
| NPI number | 1932216892 |
|---|---|
| LBN Legal business name | Kostick, Jill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Apr 23rd, 2013 - about 11 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 | 1932216892 | NPPES |
| Indiana | MEDICAID | 200280970 |
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