Ingram, Jesse

Ingram, Jesse is an individual health care provider with primary practice located at 9985 Sierra Ave , Fontana CA 92335-6720. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Ingram, Jesse can be contacted via phone (909) 427-5525.

Contact Information

Primary practice address
9985 Sierra Ave Fontana CA 92335-6720
Phone: (909) 427-5525
Fax: (909) 427-7602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA13419 California

Profile Details

NPI number 1851512560
LBN Legal business name Ingram, Jesse
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Nov 29th, 2021 - about 4 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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