Li, Jian

Li, Jian is an individual health care provider with primary practice located at 4050 S 26Th St Jefferson Comprehensive Concussion Center, Philadelphia PA 19112-1613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Li, Jian can be contacted via phone (267) 463-2284.

Contact Information

Primary practice address
4050 S 26Th St Jefferson Comprehensive Concussion Center Philadelphia PA 19112-1613
Phone: (267) 463-2284
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP015091 Pennsylvania

Profile Details

NPI number 1114397387
LBN Legal business name Li, Jian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2015
Last updated Feb 8th, 2016 - about 10 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 1114397387 NPPES
Pennsylvania MEDICAID 103072759

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