Korth, Jesse

Korth, Jesse is an sole proprietor health care provider with primary practice located at 255 N White Rd Ste 200 , San Jose CA 95127-1966. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Korth, Jesse can be contacted via phone (866) 646-3553.

Contact Information

Primary practice address
255 N White Rd Ste 200 San Jose CA 95127-1966
Phone: (866) 646-3553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 238714 North Carolina
Nursing Service Providers / Critical Care Medicine 163WC0200X 87827 West Virginia
Nursing Service Providers / Critical Care Medicine 163WC0200X 95028029 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95012974 California

Profile Details

NPI number 1457870586
LBN Legal business name Korth, Jesse
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2017
Last updated Dec 30th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457870586 NPPES
California Other 95012974 BOARD OF NURSING NP LICENSE
California Other 95029028 BOARD OF NURSING NP LICENSE

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