Staszak, Jessica Kathryn
Staszak, Jessica Kathryn is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Div Surg Accs, Saint Louis MO 63110-1003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Staszak, Jessica Kathryn can be contacted via phone (314) 362-5298.Contact Information
Primary practice address
1 Barnes Jewish Hospital Plz Div Surg Accs
Saint Louis MO 63110-1003
Phone: (314) 362-5298
Fax: (888) 824-2176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 2020022350 | Missouri |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2020022350 | Missouri |
Profile Details
| NPI number | 1114360690 |
|---|---|
| LBN Legal business name | Staszak, Jessica Kathryn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2013 |
| Last updated | Apr 25th, 2024 - 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 | 1114360690 | NPPES |
| Missouri | MEDICAID | 200088459 |
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