Bortz, Jill

Bortz, Jill is an individual health care provider with primary practice located at 3760 Brookside Rd , Macungie PA 18062-1741. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bortz, Jill can be contacted via phone (610) 966-4646.

Contact Information

Primary practice address
3760 Brookside Rd Macungie PA 18062-1741
Phone: (610) 966-4646
Fax: (610) 965-6201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS005827L Pennsylvania

Profile Details

NPI number 1831168400
LBN Legal business name Bortz, Jill
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Sep 6th, 2012 - about 14 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 1831168400 NPPES
Pennsylvania Other P00644913 RAILROAD MEDICARE
Pennsylvania Other 505543 RAILROAD MEDICARE
Pennsylvania MEDICAID 001189992003 RAILROAD MEDICARE

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