Jaqua, Nathan Thomas

Jaqua, Nathan Thomas is an individual health care provider with primary practice located at 2820 Mount Rushmore Rd , Rapid City SD 57701-5462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Jaqua, Nathan Thomas can be contacted via phone (605) 342-3280.

Contact Information

Primary practice address
2820 Mount Rushmore Rd Rapid City SD 57701-5462
Phone: (605) 342-3280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-16294 Hawaii
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD 16294 Hawaii
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 77614 Georgia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 11149 South Dakota

Profile Details

NPI number 1376863738
LBN Legal business name Jaqua, Nathan Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2010
Last updated Jan 28th, 2019 - about 6 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 1376863738 NPPES
Other VAD000 UPIN

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