Titus, Jenine
Titus, Jenine is an sole proprietor health care provider with primary practice located at 3401 Centre Lake Dr Ste 512 , Ontario CA 91761-1201. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Titus, Jenine can be contacted via phone (909) 566-0445.Contact Information
Primary practice address
3401 Centre Lake Dr Ste 512
Ontario CA 91761-1201
Phone: (909) 566-0445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | NP95002533 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95002533 | California |
Profile Details
| NPI number | 1043688161 |
|---|---|
| LBN Legal business name | Titus, Jenine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2015 |
| Last updated | Apr 11th, 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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