Diekhoff, Jessica H
Diekhoff, Jessica H is an individual health care provider with primary practice located at 12855 N Forty Dr Ste 280, St. Louis MO 63141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Diekhoff, Jessica H can be contacted via phone (314) 432-4415.Contact Information
Primary practice address
12855 N Forty Dr Ste 280
St. Louis MO 63141
Phone: (314) 432-4415
Fax: (314) 432-1986
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 140356 | Missouri |
Profile Details
NPI number | 1164662276 |
---|---|
LBN Legal business name | Diekhoff, Jessica H |
Credentials | APRN, BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2009 |
Last updated | Jul 15th, 2014 - about 10 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 | 1164662276 | NPPES |
Missouri | Other | P01134602 | RAILROAD MEDICARE |
Missouri | MEDICAID | 1164662276 | RAILROAD MEDICARE |
Missouri | Other | P22480 | RAILROAD MEDICARE |
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