Jackson, Dorothy Jean

Jackson, Dorothy Jean is an individual health care provider with primary practice located at 2906 Nw Vivion Rd , Kansas City MO 64150-1502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jackson, Dorothy Jean can be contacted via phone (816) 599-5050.

Contact Information

Primary practice address
2906 Nw Vivion Rd Kansas City MO 64150-1502
Phone: (816) 599-5050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R8B55 Missouri

Profile Details

NPI number 1023004009
LBN Legal business name Jackson, Dorothy Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jun 11th, 2025 - about last year

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 1023004009 NPPES
Missouri MEDICAID 201760055

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