Fox, Jillian E

Fox, Jillian E is an individual health care provider with primary practice located at 34Th Street And Civic Center Boulevard , Philadelphia PA 19104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fox, Jillian E can be contacted via phone (215) 590-1000.

Contact Information

Primary practice address
34Th Street And Civic Center Boulevard Philadelphia PA 19104
Phone: (215) 590-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA057539 Pennsylvania

Profile Details

NPI number 1912964248
LBN Legal business name Fox, Jillian E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated May 24th, 2021 - about 4 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 1912964248 NPPES
New York Other 11563506 CAQH
New York Other 000570413003 CAQH
New York Other 177880BF CAQH
New York Other 9511753 CAQH
New York Other P00236020 CAQH

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