Jaecks, Ronald Dale
Jaecks, Ronald Dale is an individual health care provider with primary practice located at 5125 Skyline Rd S , Salem OR 97306-9427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jaecks, Ronald Dale can be contacted via phone (503) 361-5400.Contact Information
Primary practice address
5125 Skyline Rd S
Salem OR 97306-9427
Phone: (503) 361-5400
Fax: (503) 566-4518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD20773 | Oregon |
Profile Details
| NPI number | 1750406039 |
|---|---|
| LBN Legal business name | Jaecks, Ronald Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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