Peatross, Jessica Laine
Peatross, Jessica Laine is an sole proprietor health care provider with primary practice located at 670 Monterey Pass Rd Suite 100, Monterey Park CA 91754-2436. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Peatross, Jessica Laine can be contacted via phone (626) 551-5155.Contact Information
Primary practice address
670 Monterey Pass Rd Suite 100
Monterey Park CA 91754-2436
Phone: (626) 551-5155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42752 | Kentucky |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 139872 | California |
Profile Details
| NPI number | 1689704074 |
|---|---|
| LBN Legal business name | Peatross, Jessica Laine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Feb 23rd, 2016 - about 8 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 | 1689704074 | NPPES |
| Other | 107156 | SIHO/NIS | |
| Other | 000000624958 | SIHO/NIS | |
| Other | 000026447Q | SIHO/NIS | |
| Other | 50025070 | SIHO/NIS |
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