Jackson, Roger P

Jackson, Roger P is an individual health care provider with primary practice located at 2750 Clay Edwards Dr Ste 600 , North Kansas City MO 64116-3258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Jackson, Roger P can be contacted via phone (816) 471-6611.

Contact Information

Primary practice address
2750 Clay Edwards Dr Ste 600 North Kansas City MO 64116-3258
Phone: (816) 471-6611
Fax: (816) 471-6192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X R5717 Missouri

Profile Details

NPI number 1811044548
LBN Legal business name Jackson, Roger P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Mar 7th, 2023 - about 3 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 1811044548 NPPES
Other 07979011 BCBS OF KC
Other 200018411 BCBS OF KC
Other 09-00221 BCBS OF KC
Other 4571391 BCBS OF KC

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