Hines, Jessica Sarah

Hines, Jessica Sarah is an sole proprietor health care provider with primary practice located at 625 Steele Ln , Santa Rosa CA 95403-3127. She recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as her primary health care specialty. Hines, Jessica Sarah can be contacted via phone (707) 576-0818.

Contact Information

Primary practice address
625 Steele Ln Santa Rosa CA 95403-3127
Phone: (707) 576-0818
Fax: (707) 576-7845
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 49-02 California

Profile Details

NPI number 1841930344
LBN Legal business name Hines, Jessica Sarah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2022
Last updated Mar 31st, 2022 - 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.

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