Stone, Jessica A

Stone, Jessica A is an individual health care provider with primary practice located at 7405 Renner Rd , Shawnee KS 66217-9414. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Stone, Jessica A can be contacted via phone (913) 588-8465.

Contact Information

Primary practice address
7405 Renner Rd Shawnee KS 66217-9414
Fax: (913) 588-2274
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 946203 Kansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0431835 Kansas

Profile Details

NPI number 1003037615
LBN Legal business name Stone, Jessica A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Aug 29th, 2019 - 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 1003037615 NPPES
Kansas MEDICAID 200461040C
Kansas MEDICAID 2004610400
Kansas MEDICAID 200461040E

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