Jackson, Allison

Jackson, Allison is an individual health care provider with primary practice located at 6440 Nieman Rd , Shawnee KS 66203-3326. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Allison can be contacted via phone (913) 826-4200.

Contact Information

Primary practice address
6440 Nieman Rd Shawnee KS 66203-3326
Phone: (913) 826-4200
Fax: (913) 826-1589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCP 1471 Kansas

Profile Details

NPI number 1669873261
LBN Legal business name Jackson, Allison
Credentials LCP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2014
Last updated Apr 18th, 2019 - about 7 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 1669873261 NPPES
Kansas MEDICAID 201102500A

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