Jacobs, Andrew A

Jacobs, Andrew A is an sole proprietor health care provider with primary practice located at 800 W 47Th St Ste 514, Kansas City MO 64112-1251. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Exercise & Sports. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Jacobs, Andrew A can be contacted via phone (816) 561-5556.

Contact Information

Primary practice address
800 W 47Th St Ste 514 Kansas City MO 64112-1251
Phone: (816) 561-5556
Fax: (816) 756-3151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X R0244 Missouri
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X R0244 Missouri

Profile Details

NPI number 1073506226
LBN Legal business name Jacobs, Andrew A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Dec 21st, 2010 - about 14 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 1073506226 NPPES
Missouri Other 16045018 BCBS

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