Jittrikawiphol, Jesse

Jittrikawiphol, Jesse is an sole proprietor health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Jittrikawiphol, Jesse can be contacted via phone (855) 422-8029.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Phone: (855) 422-8029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1902256852
LBN Legal business name Jittrikawiphol, Jesse
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2016
Last updated Nov 23rd, 2021 - about 5 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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