Pugh, Jackson Charles
Pugh, Jackson Charles is an individual health care provider with primary practice located at 300 Winding Woods Dr Ste 100 , O Fallon MO 63366-5080. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Pugh, Jackson Charles can be contacted via phone (636) 379-4329.Contact Information
Primary practice address
300 Winding Woods Dr Ste 100
O Fallon MO 63366-5080
Phone: (636) 379-4329
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2020024607 | Missouri |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2020024607 | Missouri |
Profile Details
| NPI number | 1912345935 |
|---|---|
| LBN Legal business name | Pugh, Jackson Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2013 |
| Last updated | Apr 1st, 2021 - 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.
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