Humble, Jessilyn Ranae
Humble, Jessilyn Ranae is an individual health care provider with primary practice located at 2711 S Rouse St Ste B , Pittsburg KS 66762-6621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Humble, Jessilyn Ranae can be contacted via phone (620) 235-7612.Contact Information
Primary practice address
2711 S Rouse St Ste B
Pittsburg KS 66762-6621
Phone: (620) 235-7612
Fax: (620) 235-7613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 04-38113 | Kansas |
Profile Details
| NPI number | 1740541234 |
|---|---|
| LBN Legal business name | Humble, Jessilyn Ranae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2012 |
| Last updated | Jun 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740541234 | NPPES |
| Kansas | MEDICAID | 201118970A |
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