JACK SAILOR
NPI 1033513692
Contractor in Saint Louis, MO

Active since October 10, 2014
2206 LUCAS AVE UNIT 508, SAINT LOUIS, MO 63103(314) 307-4197 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Contractor

About JACK SAILOR

This page provides the complete NPI Profile along with additional information for Jack Sailor, a provider established in Saint Louis, Missouri with a medical specialization in Contractor. The healthcare provider is registered in the NPI registry with number 1033513692 assigned on October 2014. The practitioner's primary taxonomy code is 171W00000X with license number P059173009 (MO). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1033513692 Verify this NPI
Provider Name
JACK SAILOR
Gender
Male
Entity Type
Individual
Location Address
2206 LUCAS AVE UNIT 508 SAINT LOUIS, MO 63103
Location Phone
(314) 307-4197
Mailing Address
2206 LUCAS AVE UNIT 508 SAINT LOUIS, MO 63103
Mailing Phone
(314) 307-4197
Is Sole Proprietor?
Yes
Enumeration Date
10-10-2014
Last Update Date
10-10-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Contractor

Taxonomy Code
171W00000X
Type
Other Service Providers
License No.
P059173009
License State
MO
Taxonomy Description
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P059173009OTHER (01)MOCERTIFIED ATHLETIC TRAINER

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033513692, enumerated as an "individual" on October 10, 2014.

The provider is located at 2206 LUCAS AVE UNIT 508 SAINT LOUIS, MO 63103 and the phone number is (314) 307-4197.

Contractor with taxonomy code 171W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.