Reisman, Jill M.

Reisman, Jill M. is an individual health care provider with primary practice located at 3900 St Francis Way Ste 200 , Lafayette IN 47905-4940. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Reisman, Jill M. can be contacted via phone (765) 502-4000.

Contact Information

Primary practice address
3900 St Francis Way Ste 200 Lafayette IN 47905-4940
Phone: (765) 502-4000
Fax: (765) 402-4709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000734A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10000734A Indiana

Profile Details

NPI number 1881617538
LBN Legal business name Reisman, Jill M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 17th, 2023 - about last year

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 1881617538 NPPES
Indiana MEDICAID 300008925

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