Espino, Jeremy John
Espino, Jeremy John is an individual health care provider with primary practice located at 117 W Bunny Ave , Santa Maria CA 93458-2805. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Espino, Jeremy John can be contacted via phone (805) 739-3890.Contact Information
Primary practice address
117 W Bunny Ave
Santa Maria CA 93458-2805
Phone: (805) 739-3890
Fax: (805) 614-5932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA18190 | California |
Profile Details
| NPI number | 1689854044 |
|---|---|
| LBN Legal business name | Espino, Jeremy John |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2007 |
| Last updated | Apr 19th, 2016 - about 10 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 | 1689854044 | NPPES |
| California | Other | PA18190 | PA LICENSE |
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