Abbott, Jeanne Pauline

Abbott, Jeanne Pauline is an individual health care provider with primary practice located at 54 Hospital Dr Suite 102, Osage Beach MO 65065-3050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, which is considered as her primary health care specialty. Abbott, Jeanne Pauline can be contacted via phone (573) 348-8045.

Contact Information

Primary practice address
54 Hospital Dr Suite 102 Osage Beach MO 65065-3050
Phone: (573) 348-8045
Fax: (573) 348-8046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 2005027545 Missouri

Profile Details

NPI number 1669467221
LBN Legal business name Abbott, Jeanne Pauline
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 28th, 2013 - about 13 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 1669467221 NPPES
Missouri MEDICAID 207466103

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