Craig, Jessica Anne
Craig, Jessica Anne is an sole proprietor health care provider with primary practice located at 17272 Newhope St , Fountain Valley CA 92708-4210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Craig, Jessica Anne can be contacted via phone (714) 754-7268.Contact Information
Primary practice address
17272 Newhope St
Fountain Valley CA 92708-4210
Phone: (714) 754-7268
Fax: (714) 434-7042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | PT37550 | California |
Profile Details
| NPI number | 1194011858 |
|---|---|
| LBN Legal business name | Craig, Jessica Anne |
| Credentials | D.P.T |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2011 |
| Last updated | Jun 21st, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194011858 | NPPES |
| California | Other | PT37550 | LICENSE |
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