Vukov, Jack G
Vukov, Jack G is an sole proprietor health care provider with primary practice located at 2100 18Th Ave Ste 4 , Rock Island IL 61201-3611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Vukov, Jack G can be contacted via phone (309) 788-8887.Contact Information
Primary practice address
2100 18Th Ave Ste 4
Rock Island IL 61201-3611
Phone: (309) 788-8887
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036051323 | Illinois |
Profile Details
| NPI number | 1194832022 |
|---|---|
| LBN Legal business name | Vukov, Jack G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Apr 23rd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194832022 | NPPES |
| Other | 0008100304 | BLUE CROSS BLUE SHIELD | |
| Other | 0335320001 | BLUE CROSS BLUE SHIELD |
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