Fleming, Jessica Perez
Fleming, Jessica Perez is an individual health care provider with primary practice located at 1595 S Calumet Rd Ste 3 , Chesterton IN 46304-2389. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Fleming, Jessica Perez can be contacted via phone (219) 764-4888.Contact Information
Primary practice address
1595 S Calumet Rd Ste 3
Chesterton IN 46304-2389
Phone: (219) 764-4888
Fax: (219) 898-4258
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | 222Q00000X | Indiana |
Profile Details
NPI number | 1881354835 |
---|---|
LBN Legal business name | Fleming, Jessica Perez |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 17th, 2021 |
Last updated | Dec 17th, 2021 - about 3 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 | 1881354835 | NPPES |
Indiana | MEDICAID | 200196020A |
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