Individual
JACOB CHARLES CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 HEARTLAND RD, SUITE 2800, ST. JOSEPH, MO 64506-3398
(816) 271-1244
(816) 271-1220
Mailing address
901 HEARTLAND RD STE 2800, SAINT JOSEPH, MO 64506-6201
(816) 271-1200
(816) 271-1220
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2007001552
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200605660A
—
KS
01
—
39927012
BLUE CROSS BLUE SHIELD
MO
01
—
42600018
BLUE CROSS BLUE SHIELD
KS
Enumeration date
09/02/2006
Last updated
11/20/2017
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