Brown, Jack Scott

Brown, Jack Scott is an individual health care provider with primary practice located at 10801 W 87Th St Suite 300, Overland Park KS 66214. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Brown, Jack Scott can be contacted via phone (913) 438-2100.

Contact Information

Primary practice address
10801 W 87Th St Suite 300 Overland Park KS 66214
Phone: (913) 438-2100
Fax: (913) 438-2119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X KSLP0973 Kansas

Profile Details

NPI number 1073678843
LBN Legal business name Brown, Jack Scott
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073678843 NPPES
Other 25156039 BLUE CROSS BLUE SHIELD

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