Jackups, Ronald Richard

Jackups, Ronald Richard is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Div Pa Lab And Genomic Med, Saint Louis MO 63110-1003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Jackups, Ronald Richard can be contacted via phone (314) 362-5641.

Contact Information

Primary practice address
1 Barnes Jewish Hospital Plz Div Pa Lab And Genomic Med Saint Louis MO 63110-1003
Phone: (314) 362-5641
Fax: (314) 362-0369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 2012005897 Missouri
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 2012005897 Missouri

Profile Details

NPI number 1699927020
LBN Legal business name Jackups, Ronald Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2008
Last updated Apr 25th, 2024 - about 2 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 1699927020 NPPES
Missouri MEDICAID 209529908

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