Jacquot, Brian P

Jacquot, Brian P is an individual health care provider with primary practice located at 2300 N Edward St Suite 2350, Decatur IL 62526-4163. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jacquot, Brian P can be contacted via phone (217) 876-2880.

Contact Information

Primary practice address
2300 N Edward St Suite 2350 Decatur IL 62526-4163
Phone: (217) 876-2880
Fax: (217) 876-2885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001321 Illinois

Profile Details

NPI number 1053369546
LBN Legal business name Jacquot, Brian P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Sep 15th, 2014 - about 12 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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