Goostree, Jackie R

Goostree, Jackie R is an individual health care provider with primary practice located at 5401 Veterans Memorial Pkwy Ste 100 , Saint Peters MO 63376-1681. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Goostree, Jackie R can be contacted via phone (636) 441-0906.

Contact Information

Primary practice address
5401 Veterans Memorial Pkwy Ste 100 Saint Peters MO 63376-1681
Phone: (636) 441-0906
Fax: (636) 928-9288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1275774077
LBN Legal business name Goostree, Jackie R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2009
Last updated Mar 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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