Flowers, Jeremy Ray

Flowers, Jeremy Ray is an sole proprietor health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Flowers, Jeremy Ray can be contacted via phone (800) 926-8273.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9000
Phone: (800) 926-8273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 15316 California

Profile Details

NPI number 1013913045
LBN Legal business name Flowers, Jeremy Ray
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Jun 11th, 2020 - about 5 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 1013913045 NPPES
California MEDICAID GR0083811
California MEDICAID GR0083816
California MEDICAID GR0083817
California MEDICAID GR0083810
California MEDICAID GR0083814
California MEDICAID ZZZ75341Z
California MEDICAID GR0083812
California MEDICAID GR0083813
California MEDICAID GR0083815

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