Acock Carlisle, Jessica

Acock Carlisle, Jessica is an individual health care provider with primary practice located at 2222 Bancroft Way Spc 4300 , Berkeley CA 94720-4300. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Acock Carlisle, Jessica can be contacted via phone (510) 642-2367.

Contact Information

Primary practice address
2222 Bancroft Way Spc 4300 Berkeley CA 94720-4300
Phone: (510) 642-2367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1073099479
LBN Legal business name Acock Carlisle, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2018
Last updated Jul 18th, 2018 - about 7 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.

Request for update

Popular Providers