Matzek, Jill

Matzek, Jill is an individual health care provider with primary practice located at 60 Red Jacket St Suite 1, Dansville NY 14437-0339. 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. Matzek, Jill can be contacted via phone (585) 335-6041.

Contact Information

Primary practice address
60 Red Jacket St Suite 1 Dansville NY 14437-0339
Fax: (585) 335-6764
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007184 New York

Profile Details

NPI number 1871551937
LBN Legal business name Matzek, Jill
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Oct 3rd, 2012 - about 12 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 1871551937 NPPES
New York MEDICAID 03482299

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