Jenks, Jerry Donn
Jenks, Jerry Donn is an individual health care provider with primary practice located at 79 Maple Dr , Platte City MO 64079-9640. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jenks, Jerry Donn can be contacted via phone (816) 858-3954.Contact Information
Primary practice address
79 Maple Dr
Platte City MO 64079-9640
Phone: (816) 858-3954
Fax: (816) 858-3954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02268 | Missouri |
Profile Details
| NPI number | 1649296278 |
|---|---|
| LBN Legal business name | Jenks, Jerry Donn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1649296278 | NPPES |
| Missouri | MEDICAID | 310208160 |
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