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Contact Information

JACOB M FELDHAUS
ONE HOSPITAL DR
COLUMBIA, MO65212-0001
 Phone: 573-884-7770
 Fax: 573-882-9876
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JACOB M FELDHAUS · (Male)

NPI # 1154765600
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2013
Last updated 06/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME123171
  • MO License # 2022011938
  • MO Medicaid 200108026
Hospital affiliation(s)
  • BOONE HOSPITAL CENTER - (Acute Care)
    1600 E BROADWAY
    COLUMBIA, MO 65201
  • UNIVERSITY OF MISSOURI HEALTH CARE - (Acute Care)
    ONE HOSPITAL DRIVE, ROOM CE121, DC031,00
    COLUMBIA, MO 65212
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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