Jellett, Carol
Jellett, Carol is an individual health care provider with primary practice located at 11 Crum Elbow Road , Hyde Park NY 12538. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jellett, Carol can be contacted via phone (845) 229-1020.Contact Information
Primary practice address
11 Crum Elbow Road
Hyde Park NY 12538
Phone: (845) 229-1020
Fax: (845) 229-2005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 222115 | New York |
Profile Details
| NPI number | 1396768388 |
|---|---|
| LBN Legal business name | Jellett, Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Dec 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396768388 | NPPES |
| New York | Other | 312490 | USFHP (HMO) |
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