Steidl, Jill A

Steidl, Jill A is an individual health care provider with primary practice located at 90 Presidential Plz , Syracuse NY 13202-2240. 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 / Physician Assistant is her primary health care specialty. Steidl, Jill A can be contacted via phone (315) 464-3836.

Contact Information

Primary practice address
90 Presidential Plz Syracuse NY 13202-2240
Phone: (315) 464-3836
Fax: (315) 464-3837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2004-0007 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2004-0007 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 023977 New York

Profile Details

NPI number 1316944143
LBN Legal business name Steidl, Jill A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 13th, 2022 - about 2 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 1316944143 NPPES
New Mexico MEDICAID 52731839

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