Sharon, Jill I
Sharon, Jill I is an individual health care provider with primary practice located at 1771 Madison Ave Center For Health Education, Medicine And Dentistry, Lakewood NJ 08701-1251. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sharon, Jill I can be contacted via phone (732) 364-2144.Contact Information
Primary practice address
1771 Madison Ave Center For Health Education, Medicine And Dentistry
Lakewood NJ 08701-1251
Phone: (732) 364-2144
Fax: (732) 364-3559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MB07828500 | New Jersey |
Profile Details
| NPI number | 1033115530 |
|---|---|
| LBN Legal business name | Sharon, Jill I |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Oct 30th, 2008 - about 16 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 | 1033115530 | NPPES |
| New Jersey | MEDICAID | 0155284 |
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