Truax, Jessica Lee
Truax, Jessica Lee is an sole proprietor health care provider with primary practice located at 800 W Covina Blvd , San Dimas CA 91773-2476. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Truax, Jessica Lee can be contacted via phone (626) 695-3704.Contact Information
Primary practice address
800 W Covina Blvd
San Dimas CA 91773-2476
Phone: (626) 695-3704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | California |
Profile Details
| NPI number | 1235722216 |
|---|---|
| LBN Legal business name | Truax, Jessica Lee |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2021 |
| Last updated | Aug 6th, 2021 - about 5 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 | 1235722216 | NPPES |
| California | Other | 090402210 | NATIONAL ATHLETIC TRAINERS ASSOCIATION |
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