Young, Jill S

Young, Jill S is an individual health care provider with primary practice located at 25 Pocono Rd , Denville NJ 07834-2954. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Young, Jill S can be contacted via phone (973) 625-6000.

Contact Information

Primary practice address
25 Pocono Rd Denville NJ 07834-2954
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MB 062047 New Jersey

Profile Details

NPI number 1003818360
LBN Legal business name Young, Jill S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 8th, 2007 - about 17 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 1003818360 NPPES
New Jersey MEDICAID 6670504

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