Siskind, Jill Robin

Siskind, Jill Robin is an individual health care provider with primary practice located at 100 South St , Southbridge MA 01550-4051. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Siskind, Jill Robin can be contacted via phone (508) 765-9771.

Contact Information

Primary practice address
100 South St Southbridge MA 01550-4051
Phone: (508) 765-9771
Fax: (508) 909-7735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X E37913 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 001917 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN134682 Massachusetts

Profile Details

NPI number 1497741680
LBN Legal business name Siskind, Jill Robin
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 21st, 2011 - about 13 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 1497741680 NPPES
Connecticut MEDICAID 004190188
Connecticut Other 400001917CT01
Connecticut Other 191700

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