Poston, Jennifer Rose
Poston, Jennifer Rose is an individual health care provider with primary practice located at 1405 N Jefferson St , Carrollton MO 64633-1945. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Poston, Jennifer Rose can be contacted via phone (660) 542-1333.Contact Information
Primary practice address
1405 N Jefferson St
Carrollton MO 64633-1945
Phone: (660) 542-1333
Fax: (660) 542-6015
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2012017233 | Missouri |
Profile Details
NPI number | 1336401611 |
---|---|
LBN Legal business name | Poston, Jennifer Rose |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2012 |
Last updated | Jan 14th, 2022 - about 2 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 | 1336401611 | NPPES |
Missouri | Other | 47445042 | BCBS KC |
Missouri | MEDICAID | 1336401611 | BCBS KC |
Missouri | Other | 47445022 | BCBS KC |
Missouri | Other | 47445032 | BCBS KC |
Missouri | Other | 47445012 | BCBS KC |
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