Malossi, Jennifer A

Malossi, Jennifer A is an individual health care provider with primary practice located at 1001 E Primrose St , Springfield MO 65807-5155. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Malossi, Jennifer A can be contacted via phone (417) 875-3381.

Contact Information

Primary practice address
1001 E Primrose St Springfield MO 65807-5155
Phone: (417) 875-3381
Fax: (417) 875-3690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 228628-1 New York
Allopathic & Osteopathic Physicians / Urology 208800000X 2017017909 Missouri

Profile Details

NPI number 1003903550
LBN Legal business name Malossi, Jennifer A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Dec 27th, 2018 - about 6 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 1003903550 NPPES
Missouri MEDICAID 1003903550
Missouri MEDICAID 200044423

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