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NPI Code Detail

MEDICARE: MR. DAVID JOSEPH JANSSENS MSW

MEDICARE: MR. DAVID JOSEPH JANSSENS MSW
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
11041C0700XClinical Social WorkerSW000627MO

General Provider Information

NPI Number : 1275679847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID JOSEPH JANSSENS MSW
Provider Business Mailing Address
First Line : 11306 OAK ST
Second Line : #3
City : KANSAS CITY
State : MO
Zip : 64114-6048
Country : US
Telephone Number : 816-942-6579
Fax Number :
Provider Business Practice Location Address
First Line : 8150 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-5806
Country : US
Telephone Number : 816-508-3537
Fax Number : 816-508-3535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/09/2007

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