Bruskoski, Jessica Lisa

Bruskoski, Jessica Lisa is an individual health care provider with primary practice located at 600 Grant St , Gary IN 46402-9985. 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. Bruskoski, Jessica Lisa can be contacted via phone (219) 886-4405.

Contact Information

Primary practice address
600 Grant St Gary IN 46402-9985
Phone: (219) 886-4405
Fax: (219) 881-8801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001374A Indiana

Profile Details

NPI number 1598041402
LBN Legal business name Bruskoski, Jessica Lisa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2011
Last updated Aug 5th, 2019 - about 7 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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