Valletta, Jessica Lane

Valletta, Jessica Lane is an individual health care provider with primary practice located at 5124 Liberty Ave , Pittsburgh PA 15224-2257. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Valletta, Jessica Lane can be contacted via phone (412) 315-3800.

Contact Information

Primary practice address
5124 Liberty Ave Pittsburgh PA 15224-2257
Phone: (412) 315-3800
Fax: (412) 315-3801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD449387 Pennsylvania

Profile Details

NPI number 1073943759
LBN Legal business name Valletta, Jessica Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2013
Last updated Dec 1st, 2020 - about 4 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 1073943759 NPPES
Other 1001679 CAQH
MEDICAID 102975540 CAQH

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