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:
Health care specialties
Specialty | Code | License # | 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 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861443038 | NPPES |
Georgia | MEDICAID | 100002318B |
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