Koay, Jack Scott

Koay, Jack Scott is an sole proprietor health care provider with primary practice located at 19 Oakwood Rd , Fairmont WV 26554-2453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Koay, Jack Scott can be contacted via phone (304) 366-6511.

Contact Information

Primary practice address
19 Oakwood Rd Fairmont WV 26554-2453
Phone: (304) 366-6511
Fax: (304) 366-2330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 09678 West Virginia

Profile Details

NPI number 1356423677
LBN Legal business name Koay, Jack Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356423677 NPPES
West Virginia MEDICAID 0099076000

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