Liu, Jesse Y
Liu, Jesse Y is an individual health care provider with primary practice located at 1 Seymour St , Montclair NJ 07042-3771. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Liu, Jesse Y can be contacted via phone (973) 302-9585.Contact Information
Primary practice address
1 Seymour St
Montclair NJ 07042-3771
Phone: (973) 302-9585
Fax: (862) 357-8421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25MA11464700 | New Jersey |
Profile Details
| NPI number | 1356845523 |
|---|---|
| LBN Legal business name | Liu, Jesse Y |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2018 |
| Last updated | Sep 12th, 2022 - about 4 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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