Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2016018223 | MO |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 2016018223 | MO |
NPI | 1013228261 |
---|---|
Provider Name | Dr. Andre Miklos Jakoi |
First Address | Independence, MO 64057-2358 |
Second Address | Kansas City, MO 64116-3274 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 02/04/2018 |