Cohen, Jill Ilene
Cohen, Jill Ilene is an individual health care provider with primary practice located at 39 Main St Suite #5, Northampton MA 01060. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Cohen, Jill Ilene can be contacted via phone (413) 586-4802.Contact Information
Primary practice address
39 Main St Suite #5
Northampton MA 01060
Phone: (413) 586-4802
Fax: (413) 586-5882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1018773 | Massachusetts |
Profile Details
| NPI number | 1841328515 |
|---|---|
| LBN Legal business name | Cohen, Jill Ilene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1841328515 | NPPES |
| Massachusetts | MEDICAID | P05558 |
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