Vitelli, Jordan E

Vitelli, Jordan E is an sole proprietor health care provider with primary practice located at 200 Mercy Circle Rd , Camp Pendleton CA 92055. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Vitelli, Jordan E can be contacted via phone (760) 725-1577.

Contact Information

Primary practice address
200 Mercy Circle Rd Camp Pendleton CA 92055
Phone: (760) 725-1577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA063847 Pennsylvania

Profile Details

NPI number 1073259362
LBN Legal business name Vitelli, Jordan E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2022
Last updated Aug 29th, 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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