Hauer, Jacqueline A.

Hauer, Jacqueline A. is an individual health care provider with primary practice located at 1965 S Fremont Ave Suite 130, Springfield MO 65804-2201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Hauer, Jacqueline A. can be contacted via phone (417) 820-9055.

Contact Information

Primary practice address
1965 S Fremont Ave Suite 130 Springfield MO 65804-2201
Phone: (417) 820-9055
Fax: (417) 820-9056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 2015021019 Missouri

Profile Details

NPI number 1619289311
LBN Legal business name Hauer, Jacqueline A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2010
Last updated Apr 4th, 2016 - about 8 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 1619289311 NPPES
Kansas MEDICAID 201120190A
Kansas MEDICAID 210762001
Kansas MEDICAID 1619289311

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