Kingsly, Jill H.

Kingsly, Jill H. is an individual health care provider with primary practice located at 772 Northfield Ave , West Orange NJ 07052-1100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kingsly, Jill H. can be contacted via phone (973) 325-0002.

Contact Information

Primary practice address
772 Northfield Ave West Orange NJ 07052-1100
Phone: (973) 325-0002
Fax: (973) 376-6447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA05568800 New Jersey

Profile Details

NPI number 1992732937
LBN Legal business name Kingsly, Jill H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Feb 5th, 2014 - about 12 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 1992732937 NPPES
New Jersey MEDICAID 0000191

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