Morrow, Jack Wesley
Morrow, Jack Wesley is an individual health care provider with primary practice located at 10833 Le Conte Ave , Los Angeles CA 90095-3075. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Morrow, Jack Wesley can be contacted via phone (310) 319-1234.Contact Information
Primary practice address
10833 Le Conte Ave
Los Angeles CA 90095-3075
Phone: (310) 319-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA16293 | California |
Profile Details
| NPI number | 1699803494 |
|---|---|
| LBN Legal business name | Morrow, Jack Wesley |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Apr 4th, 2011 - about 13 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 | 1699803494 | NPPES |
| California | MEDICAID | 0PA162930 |
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