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NPI Code Detail

MEDICARE: DEBORAH ANN JANTSCH MD

MEDICARE: DEBORAH ANN JANTSCH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician0435757KS
2207V00000XObstetrics & Gynecology PhysicianR4N05MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R4N05OTHERMOMISSOURI BOARD OF HEALING ARTS
20435757OTHERKSKANSAS BOARD OF HEALING ARTS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215914734
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN JANTSCH MD
Provider Business Mailing Address
First Line : 825 EUCLID AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64124-2323
Country : US
Telephone Number : 816-474-4920
Fax Number : 816-889-1836
Provider Business Practice Location Address
First Line : 825 EUCLID AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64124-2323
Country : US
Telephone Number : 816-474-4920
Fax Number : 816-889-1836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 01/08/2018

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