Dorsey, Jill M

Dorsey, Jill M is an individual health care provider with primary practice located at 807 Childrens Way Nemours Childrens Clinic, Jacksonville, Jacksonville FL 32207-8426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Dorsey, Jill M can be contacted via phone (904) 697-3694.

Contact Information

Primary practice address
807 Childrens Way Nemours Childrens Clinic, Jacksonville Jacksonville FL 32207-8426
Phone: (904) 697-3694
Fax: (904) 697-3927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 57009706 Ohio
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X ME102416 Florida

Profile Details

NPI number 1124235304
LBN Legal business name Dorsey, Jill M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Oct 21st, 2011 - about 15 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 1124235304 NPPES
Florida MEDICAID 000478600

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