Treschuk-Bahn, Jacqueline A

Treschuk-Bahn, Jacqueline A is an individual health care provider with primary practice located at 70 Doctors Park , Cape Girardeau MO 63703-4928. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Treschuk-Bahn, Jacqueline A can be contacted via phone (573) 334-6071.

Contact Information

Primary practice address
70 Doctors Park Cape Girardeau MO 63703-4928
Phone: (573) 334-6071
Fax: (573) 334-4739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2012029923 Missouri

Profile Details

NPI number 1578533840
LBN Legal business name Treschuk-Bahn, Jacqueline A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Feb 3rd, 2021 - 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 1578533840 NPPES
Kentucky Other 000000553574 BCBS ANTHEM
Kentucky MEDICAID 036078816 BCBS ANTHEM
Kentucky MEDICAID 7100041220 BCBS ANTHEM

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