Olickal, Jiny Mathew

Olickal, Jiny Mathew is an individual health care provider with primary practice located at 1009 W Saint Maartens Dr Ste F , Saint Joseph MO 64506-2990. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Olickal, Jiny Mathew can be contacted via phone (816) 232-8145.

Contact Information

Primary practice address
1009 W Saint Maartens Dr Ste F Saint Joseph MO 64506-2990
Phone: (816) 232-8145
Fax: (816) 279-1840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TRN20587 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2018038324 Missouri

Profile Details

NPI number 1477923498
LBN Legal business name Olickal, Jiny Mathew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2015
Last updated Aug 9th, 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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