Wilt, Jessie Swain
Wilt, Jessie Swain is an individual health care provider with primary practice located at 140 Park Ave , Florham Park NJ 07932. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Wilt, Jessie Swain can be contacted via phone (973) 404-9930.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 207863 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA09052000 | New Jersey |
Profile Details
| NPI number | 1386723328 |
|---|---|
| LBN Legal business name | Wilt, Jessie Swain |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Feb 21st, 2017 - about 7 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 | 1386723328 | NPPES |
| New York | MEDICAID | 01959544 |
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