Jain, Poonam M
Jain, Poonam M is an individual health care provider with primary practice located at 1 Jefferson Barracks Dr Bldg 55 , Saint Louis MO 63125-4181. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Jain, Poonam M can be contacted via phone (314) 308-6965.Contact Information
Primary practice address
1 Jefferson Barracks Dr Bldg 55
Saint Louis MO 63125-4181
Phone: (314) 308-6965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 102417 | Missouri |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 102417 | Missouri |
Profile Details
| NPI number | 1851446207 |
|---|---|
| LBN Legal business name | Jain, Poonam M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | May 6th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851446207 | NPPES |
| Missouri | MEDICAID | 206644031 |
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