MEDICARE: DR. JAKE STEPHEN SETTLES D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	2001014689	MO

General Provider Information

NPI Number	:	1558327312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAKE STEPHEN SETTLES D.O.

Provider Business Mailing Address
First Line	:	509 N. MADISON
Second Line	:	DAVIS COUNTY HOSPITAL
City	:	BLOOMFIELD
State	:	IA
Zip	:	52537-1271
Country	:	US
Telephone Number	:	573-596-0417
Fax Number	:	573-596-0524

Provider Business Practice Location Address
First Line	:	509 N. MADISON
Second Line	:	DAVIS COUNTY HOSPITAL
City	:	BLOOMFIELD
State	:	IA
Zip	:	52537-1271
Country	:	US
Telephone Number	:	573-596-0417
Fax Number	:	573-596-0524

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	01/07/2009

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