Oats, Jack
Oats, Jack is an individual health care provider with primary practice located at 4 Technology Dr Suite 150, East Setauket NY 11733-4080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Oats, Jack can be contacted via phone (631) 941-1400.Contact Information
Primary practice address
4 Technology Dr Suite 150
East Setauket NY 11733-4080
Phone: (631) 941-1400
Fax: (631) 941-1476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 170024 | New York |
Profile Details
| NPI number | 1114921558 |
|---|---|
| LBN Legal business name | Oats, Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Sep 17th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114921558 | NPPES |
| New York | MEDICAID | 01550090 |
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