Kerekes, Jill Marie
Kerekes, Jill Marie is an individual health care provider with primary practice located at 584 Roosevelt Trl , Windham ME 04062-7302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kerekes, Jill Marie can be contacted via phone (207) 892-3233.Contact Information
Primary practice address
584 Roosevelt Trl
Windham ME 04062-7302
Phone: (207) 892-3233
Fax: (207) 893-0752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD17649 | Maine |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD17649 | Maine |
Profile Details
| NPI number | 1992728323 |
|---|---|
| LBN Legal business name | Kerekes, Jill Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Aug 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992728323 | NPPES |
| Maine | Other | 200802 | ANTHEM |
| Maine | MEDICAID | 30208309 | ANTHEM |
| Maine | MEDICAID | 432827099 | ANTHEM |
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