Pothen Jacob
MD | Pediatrics | Male
Pothen Jacob, MD is a E St Louis, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Pothen Jacob is
4601 State St, Suite #210, E St Louis, Illinois - 62205-1359. He can be contacted on phone at
618-874-3700 and fax number 618-874-5031.
Pothen Jacob is a sole proprietor of his business.
NPI number (Unique professional ID) for Pothen Jacob is
1376640474 which was assigned by NPPES on 20 Sep, 2006 and it was last updated on 08 Jul, 2007.
Pothen Jacob license number is
3648725 for Pediatrics (208000000X) in Illinois.
Pothen Jacob is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Pothen Jacob basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Pothen Jacob |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Pothen Jacob address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4601 State St, Suite #210
E St Louis, IL, 62205-1359
United States |
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| Phone Number : | 618-874-3700 |
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| Fax Number : | 618-874-5031 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1376640474 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Sep, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pothen Jacob are as mentioned. Primary taxonomy code for Pothen Jacob, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 3648725 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 2228, 4601 State St Suite #210
E St Louis, IL, 62205-1359
United States |
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| Phone Number : | 618-874-3700 |
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| Fax Number : | 618-874-5031 |
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Business Location:
Patients can refer following map for directions to
Pothen Jacob practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.