Smith, Jacob E

Smith, Jacob E is an individual health care provider with primary practice located at 960 E Walnut Lawn St Suite 102, Springfield MO 65807-7506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Smith, Jacob E can be contacted via phone (417) 875-3600.

Contact Information

Primary practice address
960 E Walnut Lawn St Suite 102 Springfield MO 65807-7506
Phone: (417) 875-3600
Fax: (417) 875-3625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2011006609 Missouri

Profile Details

NPI number 1538249016
LBN Legal business name Smith, Jacob E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Dec 27th, 2018 - about 7 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 1538249016 NPPES
Missouri MEDICAID 1538249012
Missouri MEDICAID 206588907

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