Salas, Jacquelyn H

Salas, Jacquelyn H is an individual health care provider with primary practice located at 10121 Pine Ave , Truckee CA 96161. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Salas, Jacquelyn H can be contacted via phone (530) 582-3220.

Contact Information

Primary practice address
10121 Pine Ave Truckee CA 96161
Fax: (530) 271-1791
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G081548 California

Profile Details

NPI number 1558572099
LBN Legal business name Salas, Jacquelyn H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Dec 28th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558572099 NPPES
California MEDICAID SR0090630

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