Perry, Jillian Carlstrom
Perry, Jillian Carlstrom is an individual health care provider with primary practice located at 222 Route 299 , Highland NY 12528-2524. 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. Perry, Jillian Carlstrom can be contacted via phone (845) 691-3627.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 023746 | New York |
Profile Details
NPI number | 1508426198 |
---|---|
LBN Legal business name | Perry, Jillian Carlstrom |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2019 |
Last updated | Jan 12th, 2024 - about 10 months 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 | 1508426198 | NPPES |
New York | Other | 023746 | LICENSE |
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