Justmann, Jessica Jaclyn

Justmann, Jessica Jaclyn is an individual health care provider with primary practice located at 3015 N Ballas Rd Div Anes Pain Mgt, Saint Louis MO 63131-2329. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Justmann, Jessica Jaclyn can be contacted via phone (314) 996-7200.

Contact Information

Primary practice address
3015 N Ballas Rd Div Anes Pain Mgt Saint Louis MO 63131-2329
Phone: (314) 996-7200
Fax: (314) 362-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2018003375 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 2018003375 Missouri

Profile Details

NPI number 1518306679
LBN Legal business name Justmann, Jessica Jaclyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2013
Last updated Apr 25th, 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 1518306679 NPPES
Missouri MEDICAID 200057650

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