Reddick, Jaidesh

Reddick, Jaidesh is an individual health care provider with primary practice located at 551 Mccray St , Hollister CA 95023-4090. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Reddick, Jaidesh can be contacted via phone (831) 634-4444.

Contact Information

Primary practice address
551 Mccray St Hollister CA 95023-4090
Phone: (831) 634-4444
Fax: (831) 634-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16397 California

Profile Details

NPI number 1013099753
LBN Legal business name Reddick, Jaidesh
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013099753 NPPES
California Other PA16397 CA LICENSE

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