Winderweedle, Jeremy L

Winderweedle, Jeremy L is an individual health care provider with primary practice located at 12550 Hesperia Rd Ste 100, Victorville CA 92395-5873. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Winderweedle, Jeremy L can be contacted via phone (760) 241-6666.

Contact Information

Primary practice address
12550 Hesperia Rd Ste 100 Victorville CA 92395-5873
Phone: (760) 241-6666
Fax: (760) 241-7575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16640 California

Profile Details

NPI number 1851322002
LBN Legal business name Winderweedle, Jeremy L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Dec 1st, 2021 - 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 1851322002 NPPES
California Other PA16640 LICENSE

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