Valletta, Jessica Lane
Valletta, Jessica Lane is an individual health care provider with primary practice located at 5124 Liberty Ave , Pittsburgh PA 15224-2257. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Valletta, Jessica Lane can be contacted via phone (412) 315-3800.Contact Information
Primary practice address
5124 Liberty Ave
Pittsburgh PA 15224-2257
Phone: (412) 315-3800
Fax: (412) 315-3801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD449387 | Pennsylvania |
Profile Details
| NPI number | 1073943759 |
|---|---|
| LBN Legal business name | Valletta, Jessica Lane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2013 |
| Last updated | Dec 1st, 2020 - about 6 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 | 1073943759 | NPPES |
| Other | 1001679 | CAQH | |
| MEDICAID | 102975540 | CAQH |
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