Pothen Jacob in E St Louis - Pediatrics

Pothen Jacob - NPI 1376640474

Pothen Jacob is a Pediatrics in E St Louis, Illinois. Pothen Jacob practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pothen Jacob is 1376640474. The last update date is 2007-07-08.

Pothen Jacob's current location address is Po Box 2228, E St Louis, Illinois. You can contact this provider via phone number 6188743700 and fax number 6188745031. The mailing address for Pothen Jacob is Po Box 2228, E St Louis, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Pothen Jacob
Address Po Box 2228, E St Louis, Illinois
Phone Number 6188743700
Fax Number 6188745031
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1376640474
Provider Enumeration Date 2006-09-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 2228
City E St Louis
State Illinois (IL)
Post Code 622051359
Phone Number 6188743700
Fax Number 6188745031

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 3648725
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Pothen Jacob

What is the unique 10-digit identification code issued to Pothen Jacob by the Centers for Medicare & Medicaid Services?

The Pothen Jacob has been assigned the NPI (National Provider Identifier) 1376640474 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Pothen Jacob is geographically located?

The Pothen Jacob is physically situated at the following location: Po Box 2228, E St Louis, IL, 622051359.

What is Pothen Jacob's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Pothen Jacob is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Pothen Jacob receive the assignment of its 1376640474 from the Centers for Medicare & Medicaid Services?

The Pothen Jacob was issued its 1376640474 by the Centers for Medicare & Medicaid Services on 2006-09-20.

As of what date was the information pertaining to Pothen Jacob, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Pothen Jacob, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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