Rich, Jason Thomas

Rich, Jason Thomas is an individual health care provider with primary practice located at 4921 Parkview Pl Dept Otolaryngology, Ste 11A, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Rich, Jason Thomas can be contacted via phone (314) 362-7509.

Contact Information

Primary practice address
4921 Parkview Pl Dept Otolaryngology, Ste 11A Saint Louis MO 63110-1032
Phone: (314) 362-7509
Fax: (314) 362-7522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2005026873 Missouri

Profile Details

NPI number 1417927153
LBN Legal business name Rich, Jason Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 25th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417927153 NPPES
Missouri MEDICAID 209855204

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