Zavodnick, Jillian Hope

Zavodnick, Jillian Hope is an individual health care provider with primary practice located at 833 Chestnut St Suite 701, Philadelphia PA 19107-4414. She 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 / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Zavodnick, Jillian Hope can be contacted via phone (215) 955-6180.

Contact Information

Primary practice address
833 Chestnut St Suite 701 Philadelphia PA 19107-4414
Phone: (215) 955-6180
Fax: (215) 955-6410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD453374 Pennsylvania

Profile Details

NPI number 1821354663
LBN Legal business name Zavodnick, Jillian Hope
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2012
Last updated Aug 12th, 2015 - about 11 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 1821354663 NPPES
New Jersey MEDICAID 0466832

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