Jack Sailor

Contractor · Saint Louis, MO

Individual Active NPI

NPI number 1033513692

Practice location

2206 Lucas Ave Unit 508
Saint Louis, MO 63103-1555
Phone
(314) 307-4197

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NPI record

NPI
1033513692
Entity type
Individual (Type 1)
Enumeration date
October 10, 2014
Last updated
October 10, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X P059173009 MO

About Jack Sailor

Jack Sailor is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 2206 Lucas Ave Unit 508, Saint Louis, MO 63103-1555. The NPI number 1033513692 was assigned on October 10, 2014 and the record was last updated on October 10, 2014.

Jack Sailor lists a license in the registry: #P059173009 (MO) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Sailor?

The NPI number is 1033513692.

What is the phone number of Jack Sailor?

The phone number listed for the practice location is (314) 307-4197.

Where is Jack Sailor located?

2206 Lucas Ave Unit 508, Saint Louis, MO 63103-1555.

What is the taxonomy code for Jack Sailor?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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