Wiedemann, Jackie

Wiedemann, Jackie is an individual health care provider with primary practice located at 1 Harpst St , Arcata CA 95521-8222. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wiedemann, Jackie can be contacted via phone (707) 826-3146.

Contact Information

Primary practice address
1 Harpst St Arcata CA 95521-8222
Phone: (707) 826-3146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 333007 California

Profile Details

NPI number 1780731778
LBN Legal business name Wiedemann, Jackie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 17 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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