Dodge, Jessica T.

Dodge, Jessica T. is an individual health care provider with primary practice located at 2727 Mariposa St Ste 100 Rape Treatment Center, San Francisco CA 94110-1400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dodge, Jessica T. can be contacted via phone (415) 437-3000.

Contact Information

Primary practice address
2727 Mariposa St Ste 100 Rape Treatment Center San Francisco CA 94110-1400
Phone: (415) 437-3000
Fax: (415) 437-3050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA16999 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 16999 California

Profile Details

NPI number 1306963772
LBN Legal business name Dodge, Jessica T.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jun 18th, 2010 - about 16 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 1306963772 NPPES
Other 107953 SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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