Ishak, Jeanine A
Ishak, Jeanine A is an individual health care provider with primary practice located at 32144 Agoura Rd Ste 106, Westlake Village CA 91361-4040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ishak, Jeanine A can be contacted via phone (805) 379-3376.Contact Information
Primary practice address
32144 Agoura Rd Ste 106
Westlake Village CA 91361-4040
Phone: (805) 379-3376
Fax: (805) 379-3267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 12576 | California |
Profile Details
| NPI number | 1962456475 |
|---|---|
| LBN Legal business name | Ishak, Jeanine A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Dec 3rd, 2020 - about 6 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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