Pineda, Juan Jose

Pineda, Juan Jose is an individual health care provider with primary practice located at 3300 Vawter School Rd , Columbia MO 65203-8609. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Pineda, Juan Jose can be contacted via phone (573) 445-9764.

Contact Information

Primary practice address
3300 Vawter School Rd Columbia MO 65203-8609
Phone: (573) 445-9764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R3P42 Missouri
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R3P42 Missouri

Profile Details

NPI number 1386649812
LBN Legal business name Pineda, Juan Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Aug 15th, 2022 - about 2 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 1386649812 NPPES
Missouri Other 251779 HEALTHLINK
Missouri Other 6520 HEALTHLINK
Missouri MEDICAID 206996613 HEALTHLINK
Missouri Other 110212405 HEALTHLINK

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