St.Louis, Jessica Marie

St.Louis, Jessica Marie is an individual health care provider with primary practice located at 5200 Davis Ln Ste B120 , Austin TX 78749-4068. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. St.Louis, Jessica Marie can be contacted via phone (844) 475-8289.

Contact Information

Primary practice address
5200 Davis Ln Ste B120 Austin TX 78749-4068
Phone: (844) 475-8289
Fax: (512) 450-0086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1871 Texas

Profile Details

NPI number 1649323270
LBN Legal business name St.Louis, Jessica Marie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Sep 25th, 2018 - about 6 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 1649323270 NPPES
Ohio MEDICAID 2727599

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