Koreckij, Jason Theodore

Koreckij, Jason Theodore is an individual health care provider with primary practice located at 1 S Keene St , Columbia MO 65201-7199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Koreckij, Jason Theodore can be contacted via phone (573) 443-2402.

Contact Information

Primary practice address
1 S Keene St Columbia MO 65201-7199
Phone: (573) 443-2402
Fax: (573) 443-0574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 2009007659 Missouri

Profile Details

NPI number 1992739312
LBN Legal business name Koreckij, Jason Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 3rd, 2012 - about 12 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 1992739312 NPPES
Missouri Other 104180020 PTAN

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