Jeffrey A. Vander Kooi Llc

LBN: Jeffrey A. Vander Kooi Llc
Jeffrey A. Vander Kooi Llc is an health care organization with primary practice located at 16100 Chesterfield Pkwy W Ste 260 , Chesterfield MO 63017-4836. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Jeffrey A. Vander Kooi Llc can be contacted via phone (636) 778-9427, or through Vander Kooi, Jeffrey A. via phone (636) 778-9427.

Contact Information

Primary practice address
16100 Chesterfield Pkwy W Ste 260 Chesterfield MO 63017-4836
Fax: (636) 778-9632
Website:
Authorized official contact:
Name: Vander Kooi, Jeffrey A. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1588772487
LBN Legal business name Jeffrey A. Vander Kooi Llc
DBA Doing business as Jeffrey A. Vander Kooi Llc
Authorized official Vander Kooi, Jeffrey A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated May 16th, 2024 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588772487 NPPES
Missouri MEDICAID 201053204

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