National Provider Identifier Database

RANDALL E JACK, MD – NPI #1922044437
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

RANDALL E JACK, MD
635 INNOVATION DR STE 300
RENO, NV89511-2215
Phone: 775-329-6241
Fax: 775-329-4921
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for RANDALL E JACK

NPI Number 1922044437
Credentials MD
Entity Individual
Enumeration date 06/22/2006
Last updated 04/12/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • NV License #: 13040
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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