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
Fax: (660) 542-6015
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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