Jacobs-Gourtzelis, Jacqueline Lisa
Jacobs-Gourtzelis, Jacqueline Lisa is an individual health care provider with primary practice located at 1430 Olive St Suite 400, Saint Louis MO 63103-2303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Jacobs-Gourtzelis, Jacqueline Lisa can be contacted via phone (314) 206-3700.Contact Information
Primary practice address
1430 Olive St Suite 400
Saint Louis MO 63103-2303
Phone: (314) 206-3700
Fax: (314) 206-3708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 2006005280 | Missouri |
Profile Details
| NPI number | 1245391952 |
|---|---|
| LBN Legal business name | Jacobs-Gourtzelis, Jacqueline Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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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