Mortensen, Jill
Mortensen, Jill is an individual health care provider with primary practice located at 1203 N High St Suite A, Millville NJ 08332-2530. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Mortensen, Jill can be contacted via phone (856) 327-0182.Contact Information
Primary practice address
1203 N High St Suite A
Millville NJ 08332-2530
Phone: (856) 327-0182
Fax: (856) 327-7381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | MB46459 | New Jersey |
Profile Details
| NPI number | 1609816511 |
|---|---|
| LBN Legal business name | Mortensen, Jill |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Aug 6th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609816511 | NPPES |
| New Jersey | MEDICAID | 3853900 |
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