Pfeifer, Jaimie M

Pfeifer, Jaimie M is an individual health care provider with primary practice located at 5202 Faraon St , Saint Joseph MO 64506-3809. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pfeifer, Jaimie M can be contacted via phone (816) 233-2020.

Contact Information

Primary practice address
5202 Faraon St Saint Joseph MO 64506-3809
Fax: (816) 279-4662
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2003015592 Missouri

Profile Details

NPI number 1760484950
LBN Legal business name Pfeifer, Jaimie M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 19th, 2012 - about 12 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 1760484950 NPPES
Missouri MEDICAID 319219507

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