Youtsos, Jacqueline Margaret
Youtsos, Jacqueline Margaret is an individual health care provider with primary practice located at 2425 Bradshaw Way , Pittsburg KS 66762-6600. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Youtsos, Jacqueline Margaret can be contacted via phone (620) 308-6123.Contact Information
Primary practice address
2425 Bradshaw Way
Pittsburg KS 66762-6600
Phone: (620) 308-6123
Fax: (620) 308-6264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0438483 | Kansas |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0438483 | Kansas |
Profile Details
| NPI number | 1780950352 |
|---|---|
| LBN Legal business name | Youtsos, Jacqueline Margaret |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2012 |
| Last updated | Oct 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780950352 | NPPES |
| Kansas | MEDICAID | 201124850A |
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