Sailor, Jack
Sailor, Jack is an sole proprietor health care provider with primary practice located at 2206 Lucas Ave Unit 508 , Saint Louis MO 63103-1555. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Sailor, Jack can be contacted via phone (314) 307-4197.Contact Information
Primary practice address
2206 Lucas Ave Unit 508
Saint Louis MO 63103-1555
Phone: (314) 307-4197
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | P059173009 | Missouri |
Profile Details
| NPI number | 1033513692 |
|---|---|
| LBN Legal business name | Sailor, Jack |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2014 |
| Last updated | Oct 10th, 2014 - about 10 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 | 1033513692 | NPPES |
| Missouri | Other | P059173009 | CERTIFIED ATHLETIC TRAINER |
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