Elam, Jimmy H
Elam, Jimmy H is an individual health care provider with primary practice located at 2511 N Westwood Blvd , Poplar Bluff MO 63901-2338. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Elam, Jimmy H can be contacted via phone (573) 686-5866.Contact Information
Primary practice address
2511 N Westwood Blvd
Poplar Bluff MO 63901-2338
Phone: (573) 686-5866
Fax: (618) 997-6250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2189 | Missouri |
Profile Details
| NPI number | 1194718379 |
|---|---|
| LBN Legal business name | Elam, Jimmy H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Dec 13th, 2011 - about 13 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 | 1194718379 | NPPES |
| Missouri | MEDICAID | 1194718379 |
Popular Providers
-
Franklin, Willis Noelle
333 S Westwood Blvd , Poplar Bluff MO 63901-5519 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Bell, Troy L
2751 N Westwood Blvd , Poplar Bluff MO 63901-2346 -
Melton, Derek Joseph
4061 Hwy Pp Suite 1 Melton Eye Care Associates, Poplar Bluff MO 63901 -
Tinsley, Tyler N
2400 Lucy Lee Pkwy Ste E , Poplar Bluff MO 63901-2427 -
Penney, Michael R.
3061 N Westwood Blvd , Poplar Bluff MO 63901-8658 -
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235 -
Billings, Michael
2511 N Westwood Blvd , Poplar Bluff MO 63901-2338