Green, Jessica
Green, Jessica is an sole proprietor health care provider with primary practice located at 3559 W Ramsey St , Banning CA 92220-3505. She recently has only one registered license in Other Service Providers / Veterinarian, which is considered as her primary health care specialty. Green, Jessica can be contacted via phone (951) 849-3864.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Veterinarian | 174M00000X | 19295 | California |
Profile Details
| NPI number | 1356787261 |
|---|---|
| LBN Legal business name | Green, Jessica |
| Credentials | Doctor of Veterinary Medicine (DVM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2013 |
| Last updated | May 18th, 2013 - about 11 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 | 1356787261 | NPPES |
| California | Other | 19295 | CALIFORNIA VETERINARY BOARD LICENSE |
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