Individual
JACOB JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12266 DE PAUL DR STE 305, BRIDGETON, MO 63044-2514
(314) 770-0991
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2015012493
MO
Other
Enumeration date
06/26/2013
Last updated
11/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us