Shibata, Jeanette Wong

Shibata, Jeanette Wong is an individual health care provider with primary practice located at 400 N. Pepper Ave , Colton CA 92324. 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. Shibata, Jeanette Wong can be contacted via phone (909) 580-1000.

Contact Information

Primary practice address
400 N. Pepper Ave Colton CA 92324
Phone: (909) 580-1000
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1306031448
LBN Legal business name Shibata, Jeanette Wong
Credentials MSPA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Jun 7th, 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.

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