Espino, Jeremy John

Espino, Jeremy John is an individual health care provider with primary practice located at 117 W Bunny Ave , Santa Maria CA 93458-2805. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Espino, Jeremy John can be contacted via phone (805) 739-3890.

Contact Information

Primary practice address
117 W Bunny Ave Santa Maria CA 93458-2805
Fax: (805) 614-5932
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18190 California

Profile Details

NPI number 1689854044
LBN Legal business name Espino, Jeremy John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2007
Last updated Apr 19th, 2016 - about 8 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 1689854044 NPPES
California Other PA18190 PA LICENSE

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