Eitel, Jessica
Eitel, Jessica is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Eitel, Jessica can be contacted via phone (903) 606-4262.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP131552 | Texas |
Profile Details
| NPI number | 1912350141 |
|---|---|
| LBN Legal business name | Eitel, Jessica |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2016 |
| Last updated | Mar 23rd, 2018 - about 8 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 | 1912350141 | NPPES |
| Texas | Other | P01975590 | MEDICARE RAIL ROAD |
| Texas | MEDICAID | 365242203 | MEDICARE RAIL ROAD |
| Texas | MEDICAID | 365242204 | MEDICARE RAIL ROAD |
| Texas | Other | P01975552 | MEDICARE RAIL ROAD |
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