Koeppen, Jill Marie
Koeppen, Jill Marie is an individual health care provider with primary practice located at 10084 Reisterstown Rd Ste 200A , Owings Mills MD 21117-4096. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Koeppen, Jill Marie can be contacted via phone (410) 552-5050.Contact Information
Primary practice address
10084 Reisterstown Rd Ste 200A
Owings Mills MD 21117-4096
Phone: (410) 552-5050
Fax: (410) 552-0200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R149853 | Maryland |
Profile Details
| NPI number | 1427042027 |
|---|---|
| LBN Legal business name | Koeppen, Jill Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Jan 11th, 2021 - about 5 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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