Vrecenak, Jesse Daya

Vrecenak, Jesse Daya is an individual health care provider with primary practice located at 1 Childrens Pl Div Surg Ped, Ste 2A, Saint Louis MO 63110-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Vrecenak, Jesse Daya can be contacted via phone (314) 454-6022.

Contact Information

Primary practice address
1 Childrens Pl Div Surg Ped, Ste 2A Saint Louis MO 63110-1002
Phone: (314) 454-6022
Fax: (866) 422-8308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 2017025963 Missouri

Profile Details

NPI number 1710185392
LBN Legal business name Vrecenak, Jesse Daya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Apr 25th, 2024 - about 8 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710185392 NPPES
Missouri MEDICAID 200044965

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