Zengotita, Jaime
Zengotita, Jaime is an individual health care provider with primary practice located at 4352 Manchester Ave , Saint Louis MO 63110-2138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zengotita, Jaime can be contacted via phone (314) 531-5444.Contact Information
Primary practice address
4352 Manchester Ave
Saint Louis MO 63110-2138
Phone: (314) 531-5444
Fax: (314) 531-0063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2004017285 | Missouri |
Profile Details
| NPI number | 1093896201 |
|---|---|
| LBN Legal business name | Zengotita, Jaime |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Sep 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093896201 | NPPES |
| Missouri | MEDICAID | 209141308 |
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