| Doctor Name: | PHIL D JAQUITH |
| NPI Number: | 1437150380 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 0462 |
| Business Practice Address: | 101 S Plum St Vermillion, SD - 570693306 |
| Business Phone Number: | 6056248643 |
| Business Fax Number: | |
| Mailing Address: | 1104 W 8th St, YANKTON |
| State: | SD |
| Postal Code: | 570783306 |
| Phone Number: | 6056657841 |
| Fax Number: | 6056650546 |
| NPI Enumeration Date: | 08/02/2005 |
| NPI Last Update Date: | 08/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0462 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |