Jack L. Croughan Inc
LBN: Jack L. Croughan Inc
Jack L. Croughan Inc is an health care organization with primary practice located at 1034 S Brentwood Blvd Suite 970, Saint Louis MO 63117-1223. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Jack L. Croughan Inc can be contacted via phone (314) 725-4004, or through Croughan, Jack Lester via phone (314) 725-4004.
Contact Information
Primary practice address
1034 S Brentwood Blvd Suite 970
Saint Louis MO 63117-1223
Phone: (314) 725-4004
Fax: (314) 725-4004
Website:
Authorized official contact:
Name: Croughan, Jack Lester Doctor of Medicine (MD)
Phone: (314) 725-4004
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | R5543 | Missouri |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | R5543 | Missouri |
Profile Details
| NPI number | 1982928065 |
|---|---|
| LBN Legal business name | Jack L. Croughan Inc |
| DBA Doing business as | |
| Authorized official | Croughan, Jack Lester Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 18th, 2010 |
| Last updated | Mar 18th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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