Wilson, Jarred Douglas

Wilson, Jarred Douglas is an sole proprietor health care provider with primary practice located at 800 N Northcape Ave , San Dimas CA 91773-1930. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Wilson, Jarred Douglas can be contacted via phone (909) 374-0902.

Contact Information

Primary practice address
800 N Northcape Ave San Dimas CA 91773-1930
Phone: (909) 374-0902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1255703641
LBN Legal business name Wilson, Jarred Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2015
Last updated Oct 23rd, 2015 - about 9 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.

Request for update

Popular Providers