Wannares, Jeffrey
Wannares, Jeffrey is an individual health care provider with primary practice located at 8554 La Mesa Blvd , La Mesa CA 91942-9558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wannares, Jeffrey can be contacted via phone (619) 698-4471.Contact Information
Primary practice address
8554 La Mesa Blvd
La Mesa CA 91942-9558
Phone: (619) 698-4471
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2017-01040 | North Carolina |
Profile Details
| NPI number | 1851728141 |
|---|---|
| LBN Legal business name | Wannares, Jeffrey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2013 |
| Last updated | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851728141 | NPPES |
| North Carolina | MEDICAID | 1851728141 | |
| North Carolina | Other | 19RFY | |
| North Carolina | Other | NCY8940322 |
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