Jacobs, Jeffry Alan

Jacobs, Jeffry Alan is an individual health care provider with primary practice located at 3608 Faraon St , Saint Joseph MO 64506-3044. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Jacobs, Jeffry Alan can be contacted via phone (816) 232-4417.

Contact Information

Primary practice address
3608 Faraon St Saint Joseph MO 64506-3044
Phone: (816) 232-4417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35908KY Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD38701 Tennessee
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD60579729 Washington
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2022007260 Missouri

Profile Details

NPI number 1063477545
LBN Legal business name Jacobs, Jeffry Alan
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jun 8th, 2022 - about 2 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 1063477545 NPPES
Missouri MEDICAID 200108213

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