Youtsos, Jacqueline Margaret

Youtsos, Jacqueline Margaret is an individual health care provider with primary practice located at 2425 Bradshaw Way , Pittsburg KS 66762-6600. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Youtsos, Jacqueline Margaret can be contacted via phone (620) 308-6123.

Contact Information

Primary practice address
2425 Bradshaw Way Pittsburg KS 66762-6600
Fax: (620) 308-6264
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0438483 Kansas
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0438483 Kansas

Profile Details

NPI number 1780950352
LBN Legal business name Youtsos, Jacqueline Margaret
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2012
Last updated Oct 13th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780950352 NPPES
Kansas MEDICAID 201124850A

Popular Providers