Jesse, James

Jesse, James is an sole proprietor health care provider with primary practice located at 615 S New Ballas Rd Suite 3005, Saint Louis MO 63141-8221. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Jesse, James can be contacted via phone (314) 251-7070.

Contact Information

Primary practice address
615 S New Ballas Rd Suite 3005 Saint Louis MO 63141-8221
Phone: (314) 251-7070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003759 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2007034234 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 085003201 Illinois

Profile Details

NPI number 1861443038
LBN Legal business name Jesse, James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2006
Last updated Jan 7th, 2011 - about 14 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 1861443038 NPPES
Georgia MEDICAID 100002318B

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