Jackson, Mollie J

Jackson, Mollie J is an individual health care provider with primary practice located at 3901 Rainbow Blvd Department Of Gastroenterology, Kansas City KS 66160-8500. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Jackson, Mollie J can be contacted via phone (913) 588-3283.

Contact Information

Primary practice address
3901 Rainbow Blvd Department Of Gastroenterology Kansas City KS 66160-8500
Phone: (913) 588-3283
Fax: (913) 588-3975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 02003644 Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 02003644A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 02003644A Indiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 05-37265 Kansas

Profile Details

NPI number 1619135373
LBN Legal business name Jackson, Mollie J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Jul 22nd, 2014 - about 12 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 1619135373 NPPES
Indiana MEDICAID 200984700
Indiana MEDICAID 200984700

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