Jackson, Mollie J
Jackson, Mollie J is an individual health care provider with primary practice located at 3901 Rainbow Blvd Department Of Gastroenterology, Kansas City KS 66160-8500. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Jackson, Mollie J can be contacted via phone (913) 588-3283.Contact Information
Primary practice address
3901 Rainbow Blvd Department Of Gastroenterology
Kansas City KS 66160-8500
Phone: (913) 588-3283
Fax: (913) 588-3975
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02003644 | Indiana |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 02003644A | Indiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02003644A | Indiana |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 05-37265 | Kansas |
Profile Details
NPI number | 1619135373 |
---|---|
LBN Legal business name | Jackson, Mollie J |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 29th, 2008 |
Last updated | Jul 22nd, 2014 - about 10 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 | 1619135373 | NPPES |
Indiana | MEDICAID | 200984700 | |
Indiana | MEDICAID | 200984700 |
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