Wachowiak, Jeima Patacsil

Wachowiak, Jeima Patacsil is an individual health care provider with primary practice located at 1200 W Gonzales Rd Suite 300, Oxnard CA 93036-3072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wachowiak, Jeima Patacsil can be contacted via phone (805) 983-0691.

Contact Information

Primary practice address
1200 W Gonzales Rd Suite 300 Oxnard CA 93036-3072
Phone: (805) 983-0691
Fax: (805) 983-2026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 524153 California

Profile Details

NPI number 1376567933
LBN Legal business name Wachowiak, Jeima Patacsil
Credentials NP, PHN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 9th, 2007 - about 19 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 1376567933 NPPES
California MEDICAID 524153
California MEDICAID ZZZ75566Z
California Other ZZZ34679Z

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