Jacob, Joseph

Jacob, Joseph is an individual health care provider with primary practice located at 150 S Mount Auburn Rd Ste 344, Cape Girardeau MO 63703-4910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Jacob, Joseph can be contacted via phone (573) 331-5515.

Contact Information

Primary practice address
150 S Mount Auburn Rd Ste 344 Cape Girardeau MO 63703-4910
Phone: (573) 331-5515
Fax: (573) 331-5516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 36615 Missouri

Profile Details

NPI number 1720030349
LBN Legal business name Jacob, Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 16th, 2010 - about 14 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 1720030349 NPPES
Missouri MEDICAID 203568324
Missouri MEDICAID 160306001
Missouri Other P00262024
Missouri Other 188833
Missouri Other 444830

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