Jackson, Susan T

Jackson, Susan T is an individual health care provider with primary practice located at 3901 Rainbow Blvd Msc 4043 2032 School Of Nursing, Kansas City KS 66160-0001. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jackson, Susan T can be contacted via phone (866) 249-9736.

Contact Information

Primary practice address
3901 Rainbow Blvd Msc 4043 2032 School Of Nursing Kansas City KS 66160-0001
Phone: (866) 249-9736
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 480 Kansas

Profile Details

NPI number 1255449658
LBN Legal business name Jackson, Susan T
Credentials PHD, MSC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2006
Last updated Jun 12th, 2009 - about 17 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 1255449658 NPPES
Other 18427026 IND. BCBS PROVIDER NUMBER

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