Rakestraw, Joseph Charles

Rakestraw, Joseph Charles is an individual health care provider with primary practice located at 1500 Southwest Blvd Ste D , Jefferson City MO 65109-2472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rakestraw, Joseph Charles can be contacted via phone (573) 635-6350.

Contact Information

Primary practice address
1500 Southwest Blvd Ste D Jefferson City MO 65109-2472
Phone: (573) 635-6350
Fax: (573) 635-9049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 106237 Missouri

Profile Details

NPI number 1922002864
LBN Legal business name Rakestraw, Joseph Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 17th, 2024 - about 2 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 1922002864 NPPES
Missouri MEDICAID 248012114
Missouri MEDICAID 248012122

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