Kostelac, Jaclyn

Kostelac, Jaclyn is an sole proprietor health care provider with primary practice located at 3320 Rutger St , Saint Louis MO 63104-1122. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Kostelac, Jaclyn can be contacted via phone (314) 977-8363.

Contact Information

Primary practice address
3320 Rutger St Saint Louis MO 63104-1122
Phone: (314) 977-8363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1861874349
LBN Legal business name Kostelac, Jaclyn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2015
Last updated Jun 22nd, 2015 - about 11 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.

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