Poblete, Jesse V

Poblete, Jesse V is an individual health care provider with primary practice located at 5535 Delmar Blvd , Saint Louis MO 63112-3005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Poblete, Jesse V can be contacted via phone (314) 879-6363.

Contact Information

Primary practice address
5535 Delmar Blvd Saint Louis MO 63112-3005
Phone: (314) 879-6363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35708 Missouri

Profile Details

NPI number 1881669893
LBN Legal business name Poblete, Jesse V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 11th, 2008 - about 17 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 1881669893 NPPES
Missouri MEDICAID 202663902

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