Craig, Jessica Anne

Craig, Jessica Anne is an sole proprietor health care provider with primary practice located at 17272 Newhope St , Fountain Valley CA 92708-4210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Craig, Jessica Anne can be contacted via phone (714) 754-7268.

Contact Information

Primary practice address
17272 Newhope St Fountain Valley CA 92708-4210
Phone: (714) 754-7268
Fax: (714) 434-7042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PT37550 California

Profile Details

NPI number 1194011858
LBN Legal business name Craig, Jessica Anne
Credentials D.P.T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2011
Last updated Jun 21st, 2011 - about 13 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 1194011858 NPPES
California Other PT37550 LICENSE

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