Mitterholzer, Jeannine
Mitterholzer, Jeannine is an individual health care provider with primary practice located at 2080 S E St , San Bernardino CA 92408-2706. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Mitterholzer, Jeannine can be contacted via phone (909) 388-9191.Contact Information
Primary practice address
2080 S E St
San Bernardino CA 92408-2706
Phone: (909) 388-9191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 697258 | California |
Profile Details
| NPI number | 1922252469 |
|---|---|
| LBN Legal business name | Mitterholzer, Jeannine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2008 |
| Last updated | Nov 11th, 2008 - about 18 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 | 1922252469 | NPPES |
| California | MEDICAID | 1124100383 |
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