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:
Health care specialties
| Specialty | Code | License # | 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 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699927020 | NPPES |
| Missouri | MEDICAID | 209529908 |
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