Pyeatte, Jacob P

Pyeatte, Jacob P is an individual health care provider with primary practice located at 150 S Mount Auburn Rd Suite 318, Cape Girardeau MO 63703-4911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pyeatte, Jacob P can be contacted via phone (573) 339-1166.

Contact Information

Primary practice address
150 S Mount Auburn Rd Suite 318 Cape Girardeau MO 63703-4911
Phone: (573) 339-1166
Fax: (573) 339-7166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X R5H15 Missouri

Profile Details

NPI number 1912964289
LBN Legal business name Pyeatte, Jacob P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated May 20th, 2011 - about 15 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 1912964289 NPPES
Missouri Other 104268 HEALTHLINK
Missouri MEDICAID 202513016 HEALTHLINK
Missouri Other 1912964289 HEALTHLINK
Missouri MEDICAID 1912964289 HEALTHLINK
Missouri Other 697079 HEALTHLINK

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