Blakespear, Jeremy Daniel

Blakespear, Jeremy Daniel is an individual health care provider with primary practice located at 3220 Mission Ave Ste 1 , Oceanside CA 92058-1354. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Blakespear, Jeremy Daniel can be contacted via phone (760) 433-3155.

Contact Information

Primary practice address
3220 Mission Ave Ste 1 Oceanside CA 92058-1354
Phone: (760) 433-3155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 51942131206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 51942131206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 19825 California

Profile Details

NPI number 1750474177
LBN Legal business name Blakespear, Jeremy Daniel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Feb 5th, 2015 - about 9 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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