Jesick, Ann R
Jesick, Ann R is an sole proprietor health care provider with primary practice located at 15 S 8Th St , Indiana PA 15701-2776. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jesick, Ann R can be contacted via phone (724) 349-7388.Contact Information
Primary practice address
15 S 8Th St
Indiana PA 15701-2776
Phone: (724) 349-7388
Fax: (724) 463-7072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD036779 | Pennsylvania |
Profile Details
| NPI number | 1487647053 |
|---|---|
| LBN Legal business name | Jesick, Ann R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Jan 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487647053 | NPPES |
| Pennsylvania | MEDICAID | 1132167 | |
| Pennsylvania | Other | 162082 | |
| Pennsylvania | Other | 7853184 |
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