Lidster, Jamie Kroesch

Lidster, Jamie Kroesch is an individual health care provider with primary practice located at 2210 Encinitas Blvd Ste N , Encinitas CA 92024-4376. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lidster, Jamie Kroesch can be contacted via phone (760) 230-1888.

Contact Information

Primary practice address
2210 Encinitas Blvd Ste N Encinitas CA 92024-4376
Phone: (760) 230-1888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95006076 California

Profile Details

NPI number 1538633219
LBN Legal business name Lidster, Jamie Kroesch
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2019
Last updated Dec 13th, 2024 - about 2 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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