Pfeifer, Jacqueline Rose

Pfeifer, Jacqueline Rose is an individual health care provider with primary practice located at 3515 S 4Th St Professional Association, Leavenworth KS 66048. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Pfeifer, Jacqueline Rose can be contacted via phone (913) 651-8415.

Contact Information

Primary practice address
3515 S 4Th St Professional Association Leavenworth KS 66048
Phone: (913) 651-8415
Fax: (913) 772-8580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 866 Kansas
Behavioral Health & Social Service Providers / Psychologist 103T00000X R0407 Missouri

Profile Details

NPI number 1710082078
LBN Legal business name Pfeifer, Jacqueline Rose
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1710082078 NPPES
Kansas Other 060779 BLUE CROSS BLUE SHIELD
Kansas Other 004517 BLUE CROSS BLUE SHIELD
Kansas Other 22447022 BLUE CROSS BLUE SHIELD
Kansas Other 1049473 BLUE CROSS BLUE SHIELD
Kansas Other 7154171 BLUE CROSS BLUE SHIELD

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