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Contact Information

JESSICA SWAN
205 N 5TH ST STE 109
SAINT CHARLES, MO63301-1877
 Phone: 636-757-5525
 Fax: 636-757-3810
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for JESSICA SWAN · (Female)

NPI Number 1487285169
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2020
Last updated 01/30/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2014005322
Hospital affiliation(s) Not Available
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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