Kiessling, Jay J

Kiessling, Jay J is an individual health care provider with primary practice located at 5401 Peach St Ste 3600 , Erie PA 16509-2601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kiessling, Jay J can be contacted via phone (814) 868-2170.

Contact Information

Primary practice address
5401 Peach St Ste 3600 Erie PA 16509-2601
Phone: (814) 868-2170
Fax: (814) 868-2108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD040102L Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X MD040102L Pennsylvania

Profile Details

NPI number 1386731248
LBN Legal business name Kiessling, Jay J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Apr 6th, 2023 - about 3 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 1386731248 NPPES
Pennsylvania MEDICAID 1026721580002

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