Jackson, Dorothy Jean
Jackson, Dorothy Jean is an individual health care provider with primary practice located at 3801 Blue Pkwy , Kansas City MO 64130-2807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jackson, Dorothy Jean can be contacted via phone (816) 923-5800.Contact Information
Primary practice address
3801 Blue Pkwy
Kansas City MO 64130-2807
Phone: (816) 923-5800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R8B55 | Missouri |
Profile Details
NPI number | 1023004009 |
---|---|
LBN Legal business name | Jackson, Dorothy Jean |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2005 |
Last updated | Apr 19th, 2011 - about 13 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 | 1023004009 | NPPES |
Missouri | MEDICAID | 201760055 |
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