Smith, Jill P

Smith, Jill P is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Smith, Jill P can be contacted via phone (800) 233-4082.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD038445E Pennsylvania

Profile Details

NPI number 1124076021
LBN Legal business name Smith, Jill P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 29th, 2009 - about 15 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 1124076021 NPPES
Pennsylvania MEDICAID 0010911710001

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