Iken, Richard Jay

Iken, Richard Jay is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Iken, Richard Jay can be contacted via phone (573) 632-5525.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Phone: (573) 632-5525
Fax: (573) 632-5811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M2657 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R3B55 Missouri

Profile Details

NPI number 1962613430
LBN Legal business name Iken, Richard Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Feb 10th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962613430 NPPES
Missouri MEDICAID 1962613430

Popular Providers