Quirarte, Jesus

Quirarte, Jesus is an individual health care provider with primary practice located at 255 Terracina Blvd , Redlands CA 92373-4870. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Quirarte, Jesus can be contacted via phone (909) 798-1763.

Contact Information

Primary practice address
255 Terracina Blvd Redlands CA 92373-4870
Phone: (909) 798-1763
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 829189 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2019060742 California

Profile Details

NPI number 1578803029
LBN Legal business name Quirarte, Jesus
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2013
Last updated Feb 22nd, 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 1578803029 NPPES
California MEDICAID 1124100383

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