Campbell, Jessica Ann
Campbell, Jessica Ann is an sole proprietor health care provider with primary practice located at 570 Price Ave Ste 100 , Redwood City CA 94063-1433. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Campbell, Jessica Ann can be contacted via phone (650) 701-1882.Contact Information
Primary practice address
570 Price Ave Ste 100
Redwood City CA 94063-1433
Phone: (650) 701-1882
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X |
Profile Details
| NPI number | 1619680501 |
|---|---|
| LBN Legal business name | Campbell, Jessica Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2023 |
| Last updated | Jan 5th, 2023 - about 2 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 | 1619680501 | NPPES |
| California | Other | 1234567 | N/A |
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