Brockhaus, Jayne R
Brockhaus, Jayne R is an individual health care provider with primary practice located at 513 Burkarth Rd , Warrensburg MO 64093-3103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brockhaus, Jayne R can be contacted via phone (660) 747-7751.Contact Information
Primary practice address
513 Burkarth Rd
Warrensburg MO 64093-3103
Phone: (660) 747-7751
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R8P85 | Missouri |
Profile Details
| NPI number | 1427005925 |
|---|---|
| LBN Legal business name | Brockhaus, Jayne R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Nov 9th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427005925 | NPPES |
| Missouri | Other | 18415012 | BCBS |
| Missouri | MEDICAID | 203411004 | BCBS |
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