Jachna, Jody T

Jachna, Jody T is an individual health care provider with primary practice located at 400 1St Capitol Dr Ste 100 , Saint Charles MO 63301-2881. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Jachna, Jody T can be contacted via phone (636) 332-8455.

Contact Information

Primary practice address
400 1St Capitol Dr Ste 100 Saint Charles MO 63301-2881
Phone: (636) 332-8455
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2005015585 Missouri

Profile Details

NPI number 1891728051
LBN Legal business name Jachna, Jody T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Oct 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891728051 NPPES
Missouri MEDICAID 207332107

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