Jetmore, Allen Bruce
Jetmore, Allen Bruce is an individual health care provider with primary practice located at 11111 Nall Ave Suite 116, Leawood KS 66211-1924. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jetmore, Allen Bruce can be contacted via phone (913) 451-0600.Contact Information
Primary practice address
11111 Nall Ave Suite 116
Leawood KS 66211-1924
Phone: (913) 451-0600
Fax: (913) 451-0601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0424436 | Kansas |
Profile Details
| NPI number | 1093725111 |
|---|---|
| LBN Legal business name | Jetmore, Allen Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Aug 29th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093725111 | NPPES |
| Missouri | Other | 18198056 | BCBS OF KANSAS CITY |
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