Riseman, Jay Alan

Riseman, Jay Alan is an individual health care provider with primary practice located at 12300 Metcalf Ave , Overland Park KS 66213-1324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Riseman, Jay Alan can be contacted via phone (816) 932-2239.

Contact Information

Primary practice address
12300 Metcalf Ave Overland Park KS 66213-1324
Phone: (816) 932-2239
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2086H0002X 2008021950 Missouri
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2086H0002X 04-34116 Kansas

Profile Details

NPI number 1174505366
LBN Legal business name Riseman, Jay Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Nov 14th, 2017 - about 9 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 1174505366 NPPES
Missouri MEDICAID 1174505366
Missouri MEDICAID 200852540B

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