Pescatore, Jessica

Pescatore, Jessica is an individual health care provider with primary practice located at 305 Independence Blvd , Sicklerville NJ 08081-1093. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Pescatore, Jessica can be contacted via phone (609) 365-0712.

Contact Information

Primary practice address
305 Independence Blvd Sicklerville NJ 08081-1093
Fax: (609) 904-2265
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37AC00513100 New Jersey

Profile Details

NPI number 1760146203
LBN Legal business name Pescatore, Jessica
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2021
Last updated Oct 29th, 2021 - about 3 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 1760146203 NPPES
New Jersey MEDICAID 0506290

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