Monsivais, Jacob M

Monsivais, Jacob M is an individual health care provider with primary practice located at 751 N Rutledge St Ste 3100 , Springfield IL 62702-4968. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Monsivais, Jacob M can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
751 N Rutledge St Ste 3100 Springfield IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-7363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-003841 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-003841 Illinois

Profile Details

NPI number 1043520869
LBN Legal business name Monsivais, Jacob M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2010
Last updated Dec 8th, 2020 - about 6 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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