Walters, Jacob Andrew
Walters, Jacob Andrew is an individual health care provider with primary practice located at 3050 E River Bluff Blvd , Ozark MO 65721-8807. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Walters, Jacob Andrew can be contacted via phone (417) 885-3000.Contact Information
Primary practice address
3050 E River Bluff Blvd
Ozark MO 65721-8807
Phone: (417) 885-3000
Fax: (717) 737-7197
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA055982 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA055982 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MA055982 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2021024722 | Missouri |
Profile Details
NPI number | 1245579200 |
---|---|
LBN Legal business name | Walters, Jacob Andrew |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 11th, 2013 |
Last updated | Aug 18th, 2021 - about 4 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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