Jerome, Tawnyia

Jerome, Tawnyia is an individual health care provider with primary practice located at 3527 W Truman Blvd , Jefferson City MO 65109-5901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jerome, Tawnyia can be contacted via phone (573) 882-8910.

Contact Information

Primary practice address
3527 W Truman Blvd Jefferson City MO 65109-5901
Phone: (573) 882-8910
Fax: (573) 884-1585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 118133 Missouri

Profile Details

NPI number 1710955760
LBN Legal business name Jerome, Tawnyia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated May 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710955760 NPPES
Other P00134687 RR MEDICARE
Other 126471 RR MEDICARE
MEDICAID 204642433 RR MEDICARE
Other 440546366 RR MEDICARE
Other 5512885 RR MEDICARE
Other G69424 RR MEDICARE
Other 2194853 RR MEDICARE
Other 2904972 RR MEDICARE
Other 410414 RR MEDICARE

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