Shook, Jacky J
Shook, Jacky J is an individual health care provider with primary practice located at 7701 Sheridan Blvd , Westminster CO 80003-2605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shook, Jacky J can be contacted via phone (303) 657-6921.Contact Information
Primary practice address
7701 Sheridan Blvd
Westminster CO 80003-2605
Phone: (303) 657-6921
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 167957 | Colorado |
Profile Details
| NPI number | 1700913779 |
|---|---|
| LBN Legal business name | Shook, Jacky J |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1700913779 | NPPES |
| Other | 009979 | KAISER-COMMERCIAL NUMBER |
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