Pearcy, Jay L

Pearcy, Jay L is an individual health care provider with primary practice located at 1001 E Primrose St , Springfield MO 65807-5155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Pearcy, Jay L can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
1001 E Primrose St Springfield MO 65807-5155
Phone: (417) 875-3000
Fax: (417) 875-3696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 115678 Missouri

Profile Details

NPI number 1558304600
LBN Legal business name Pearcy, Jay L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 10th, 2023 - about 3 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 1558304600 NPPES
Other 189109 BLUE CROSS/BLUE SHIELD
MEDICAID 205867310 BLUE CROSS/BLUE SHIELD
MEDICAID 205867302 BLUE CROSS/BLUE SHIELD

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