Van Ryn, Jacques S
Van Ryn, Jacques S is an individual health care provider with primary practice located at 11125 Dunn Rd Ste 301 , Saint Louis MO 63136-6132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Van Ryn, Jacques S can be contacted via phone (314) 953-8250.Contact Information
Primary practice address
11125 Dunn Rd Ste 301
Saint Louis MO 63136-6132
Phone: (314) 953-8250
Fax: (314) 953-8255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | R4G45 | Missouri |
Profile Details
| NPI number | 1124091541 |
|---|---|
| LBN Legal business name | Van Ryn, Jacques S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Mar 12th, 2020 - 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 | 1124091541 | NPPES |
| Missouri | Other | 000000603706 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 116020001 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 475415 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 4048872 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | P00727699 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 101252 | BLUE CROSS BLUE SHIELD |
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