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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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