Ichull, Joseph A
Ichull, Joseph A is an individual health care provider with primary practice located at 41715 Winchester Rd Ste 101 , Temecula CA 92590-4853. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ichull, Joseph A can be contacted via phone (619) 618-6100.Contact Information
Primary practice address
41715 Winchester Rd Ste 101
Temecula CA 92590-4853
Phone: (619) 618-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified | 227800000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-07188 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1891 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 57424 | California |
Profile Details
| NPI number | 1285991216 |
|---|---|
| LBN Legal business name | Ichull, Joseph A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2012 |
| Last updated | Apr 15th, 2022 - about 2 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 | 1285991216 | NPPES |
| Nevada | MEDICAID | 1285991216 |
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