Peralta, Janessa I

Peralta, Janessa I is an individual health care provider with primary practice located at 1755 Court St , Redding CA 96001-1721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Peralta, Janessa I can be contacted via phone (530) 247-8800.

Contact Information

Primary practice address
1755 Court St Redding CA 96001-1721
Fax: (530) 241-1174
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A110592 California

Profile Details

NPI number 1649212846
LBN Legal business name Peralta, Janessa I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 11th, 2022 - about 2 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 1649212846 NPPES
New Hampshire MEDICAID 30206045
New Hampshire Other 4149148
New Hampshire Other AA62493
New Hampshire Other 732288
New Hampshire Other 01YP10636NH01
New Hampshire Other 1290921

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