Jaffe, David M

Jaffe, David M is an individual health care provider with primary practice located at 1 Childrens Pl , Saint Louis MO 63110-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Jaffe, David M can be contacted via phone (314) 454-2341.

Contact Information

Primary practice address
1 Childrens Pl Saint Louis MO 63110-1002
Fax: (314) 454-4345
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X R3P30 Missouri

Profile Details

NPI number 1467470922
LBN Legal business name Jaffe, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Oct 22nd, 2015 - about 9 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 1467470922 NPPES
Illinois MEDICAID 036066684

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