Jackson, Anthony Earle

Jackson, Anthony Earle is an individual health care provider with primary practice located at 4321 Washington St , Kansas City MO 64111-5905. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Jackson, Anthony Earle can be contacted via phone (816) 932-3100.

Contact Information

Primary practice address
4321 Washington St Kansas City MO 64111-5905
Phone: (816) 932-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 2022048175 Missouri

Profile Details

NPI number 1063076925
LBN Legal business name Jackson, Anthony Earle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2019
Last updated Aug 14th, 2023 - about last year

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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