Adkisson, Jerrilyn Diane
Adkisson, Jerrilyn Diane is an sole proprietor health care provider with primary practice located at 208 N Ingram Rd , Sikeston MO 63801-5233. She recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as her primary health care specialty. Adkisson, Jerrilyn Diane can be contacted via phone (573) 471-3770.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Point of Service | 305S00000X | Missouri |
Profile Details
| NPI number | 1922578996 |
|---|---|
| LBN Legal business name | Adkisson, Jerrilyn Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2018 |
| Last updated | Dec 3rd, 2018 - about 7 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 | 1922578996 | NPPES |
| Missouri | Other | 1063620565 | NPI |
| Missouri | Other | LC001488560 | NPI |
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