Jaques, David Paul

Jaques, David Paul is an individual health care provider with primary practice located at 4921 Parkview Pl Ste 8C, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jaques, David Paul can be contacted via phone (314) 747-2938.

Contact Information

Primary practice address
4921 Parkview Pl Ste 8C Saint Louis MO 63110-1032
Phone: (314) 747-2938
Fax: (314) 367-1943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2007012289 Missouri

Profile Details

NPI number 1093706541
LBN Legal business name Jaques, David Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Nov 14th, 2016 - about 10 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 1093706541 NPPES
Missouri MEDICAID 1093706541

Popular Providers