Oak, Jack Roh
Oak, Jack Roh is an individual health care provider with primary practice located at 12266 De Paul Dr Ste 305 , Bridgeton MO 63044-2514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Oak, Jack Roh can be contacted via phone (314) 770-0991.Contact Information
Primary practice address
12266 De Paul Dr Ste 305
Bridgeton MO 63044-2514
Phone: (314) 770-0991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 2003009197 | Missouri |
Profile Details
| NPI number | 1326269648 |
|---|---|
| LBN Legal business name | Oak, Jack Roh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Aug 1st, 2023 - about last year |
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 | 1326269648 | NPPES |
| Missouri | MEDICAID | 209363209 |
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