Jiang, Peter P

Jiang, Peter P is an individual health care provider with primary practice located at 211 Saint Francis Dr Specialty Clinic, Cape Girardeau MO 63703-5049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Jiang, Peter P can be contacted via phone (573) 331-5932.

Contact Information

Primary practice address
211 Saint Francis Dr Specialty Clinic Cape Girardeau MO 63703-5049
Fax: (573) 331-5931
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2005023732 Missouri
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 2005023732 Missouri

Profile Details

NPI number 1245289263
LBN Legal business name Jiang, Peter P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Dec 3rd, 2013 - about 11 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 1245289263 NPPES
Missouri Other 199929 BLUE SHIELD/BLUE CHOICE
Missouri MEDICAID 200307908 BLUE SHIELD/BLUE CHOICE
Missouri Other 718095 BLUE SHIELD/BLUE CHOICE

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