Wall, Jeffrey W

Wall, Jeffrey W is an individual health care provider with primary practice located at 2301 Holmes St , Kansas City MO 64108-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wall, Jeffrey W can be contacted via phone (816) 404-4100.

Contact Information

Primary practice address
2301 Holmes St Kansas City MO 64108-2640
Phone: (816) 404-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 111502 Missouri

Profile Details

NPI number 1487628921
LBN Legal business name Wall, Jeffrey W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Nov 8th, 2016 - about 9 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 1487628921 NPPES
Missouri MEDICAID 208545111

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