Deforest, Peggy Jane

Deforest, Peggy Jane is an individual health care provider with primary practice located at 5145 Shasta Dam Blvd , Shasta Lake CA 96019-9403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Deforest, Peggy Jane can be contacted via phone (530) 275-5421.

Contact Information

Primary practice address
5145 Shasta Dam Blvd Shasta Lake CA 96019-9403
Phone: (530) 275-5421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 10739 California

Profile Details

NPI number 1447460522
LBN Legal business name Deforest, Peggy Jane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers