Jessup, Michael J
Jessup, Michael J is an sole proprietor health care provider with primary practice located at 1810 E Plaza Way , Cape Girardeau MO 63703-5842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jessup, Michael J can be contacted via phone (573) 335-1344.Contact Information
Primary practice address
1810 E Plaza Way
Cape Girardeau MO 63703-5842
Phone: (573) 335-1344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 100630 | Missouri |
Profile Details
| NPI number | 1972503035 |
|---|---|
| LBN Legal business name | Jessup, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2005 |
| Last updated | May 19th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972503035 | NPPES |
| Missouri | MEDICAID | 203338736 | |
| Missouri | Other | 27801 |
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