Martin, Jill
Martin, Jill is an individual health care provider with primary practice located at 1800 E Park Ave , State College PA 16801-5602. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Martin, Jill can be contacted via phone (814) 231-7000.Contact Information
Primary practice address
1800 E Park Ave
State College PA 16801-5602
Phone: (814) 231-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA058856 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA058856 | Pennsylvania |
Profile Details
| NPI number | 1417496803 |
|---|---|
| LBN Legal business name | Martin, Jill |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2017 |
| Last updated | Jul 21st, 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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