Prestage, Jamie C

Prestage, Jamie C is an individual health care provider with primary practice located at 411 Nichols Rd Suite 217, Kansas City MO 64112. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Prestage, Jamie C can be contacted via phone (816) 931-9912.

Contact Information

Primary practice address
411 Nichols Rd Suite 217 Kansas City MO 64112
Phone: (816) 931-9912
Fax: (816) 561-5352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 01275 Missouri

Profile Details

NPI number 1740342963
LBN Legal business name Prestage, Jamie C
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740342963 NPPES
Other 13714016 BCBSKC

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