Shipley, Jared C.

Shipley, Jared C. is an individual health care provider with primary practice located at 39000 Bob Hope Dr , Rancho Mirage CA 92270-3221. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shipley, Jared C. can be contacted via phone (760) 340-3911.

Contact Information

Primary practice address
39000 Bob Hope Dr Rancho Mirage CA 92270-3221
Phone: (760) 340-3911
Fax: (760) 773-1481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9112971 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA65044 California

Profile Details

NPI number 1174154256
LBN Legal business name Shipley, Jared C.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2020
Last updated Dec 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174154256 NPPES
Florida MEDICAID 105771600
Florida Other 9112971
Florida Other 1171095
Florida Other 2PV1U

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