Kingsberg, Jessica G.
Kingsberg, Jessica G. is an individual health care provider with primary practice located at 2020 Palomino Ln Ste 110 , Las Vegas NV 89106-4892. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is her primary health care specialty. Kingsberg, Jessica G. can be contacted via phone (702) 474-7200.Contact Information
Primary practice address
2020 Palomino Ln Ste 110
Las Vegas NV 89106-4892
Phone: (702) 474-7200
Fax: (702) 474-0009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 454913 | Nevada |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 16603 | Nevada |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 454913 | Nevada |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 16603 | Nevada |
Profile Details
| NPI number | 1891016598 |
|---|---|
| LBN Legal business name | Kingsberg, Jessica G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2010 |
| Last updated | Sep 17th, 2018 - about 6 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 | 1891016598 | NPPES |
| Pennsylvania | MEDICAID | 1030393150001 |
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