Rhoads, Jesse Charles

Rhoads, Jesse Charles is an individual health care provider with primary practice located at 1211 Porter Wagoner Blvd # 23 , West Plains MO 65775-1826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rhoads, Jesse Charles can be contacted via phone (417) 257-6762.

Contact Information

Primary practice address
1211 Porter Wagoner Blvd # 23 West Plains MO 65775-1826
Phone: (417) 257-6762
Fax: (417) 257-5875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X RT-2100 New Hampshire
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2011026862 Missouri

Profile Details

NPI number 1255539540
LBN Legal business name Rhoads, Jesse Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2007
Last updated Jul 21st, 2022 - about 3 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 1255539540 NPPES
Missouri MEDICAID 1255539540
Missouri MEDICAID 188917003

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