Medina, Jessica
Medina, Jessica is an individual health care provider with primary practice located at 1150 Reservoir Ave , Cranston RI 02920-6068. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Medina, Jessica can be contacted via phone (401) 943-8151.Contact Information
Primary practice address
1150 Reservoir Ave
Cranston RI 02920-6068
Phone: (401) 943-8151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTG00546 | Rhode Island |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4752 | Massachusetts |
Profile Details
| NPI number | 1144559188 |
|---|---|
| LBN Legal business name | Medina, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2009 |
| Last updated | Dec 22nd, 2009 - about 15 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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