1619961380 JACKSON PRIMARY CARE LLC

Family Medicine Physician

Active

Basic Information

Organization Name
JACKSON PRIMARY CARE LLC
Enumeration Date
September 8, 2005
Last Update
October 26, 2010
Authorized Official
DR. DEANNA M SIEMER MD
OWNER
Phone: (573) 204-1400

Practice Location

Address
2685 E MAIN ST SUITE A
STE A
JACKSON, MO 63755
Phone
(573) 204-1400
Fax
(573) 204-1480

Mailing Address

Address
2685 E MAIN ST SUITE A
STE A
JACKSON, MO 63755
Phone
(573) 204-1400
Fax
(573) 204-1480

Specialties & Taxonomies

Specialty Code Classification License State Primary
Obstetrics & Gynecology Physician
207V00000X Obstetrics & Gynecology N/A N/A No
Rural Health Clinic/Center
Rural Health
261QR1300X Clinic/Center N/A N/A No
Family Medicine Physician
207Q00000X Family Medicine N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
132588 01 MO BCBS
509303004 05 MO N/A

Frequently Asked Questions

What is JACKSON PRIMARY CARE LLC's NPI number?
JACKSON PRIMARY CARE LLC's NPI number is 1619961380.
Which doctor has NPI number 1619961380?
The doctor with NPI number 1619961380 is JACKSON PRIMARY CARE LLC.
What is JACKSON PRIMARY CARE LLC's practice address?
JACKSON PRIMARY CARE LLC's practice address is 2685 E MAIN ST SUITE A, STE A, JACKSON, MO, 63755.
Which doctor practices at 2685 E MAIN ST SUITE A, STE A, JACKSON, MO, 63755?
JACKSON PRIMARY CARE LLC practices at 2685 E MAIN ST SUITE A, STE A, JACKSON, MO, 63755.
What is JACKSON PRIMARY CARE LLC's phone number?
JACKSON PRIMARY CARE LLC's phone number is (573) 204-1400.
Who is (573) 204-1400?
(573) 204-1400 is the phone number for JACKSON PRIMARY CARE LLC.
What is JACKSON PRIMARY CARE LLC's specialty?
JACKSON PRIMARY CARE LLC's specialty is Family Medicine Physician.
What type of doctor is JACKSON PRIMARY CARE LLC?
JACKSON PRIMARY CARE LLC is a Family Medicine Physician.
Is JACKSON PRIMARY CARE LLC a Family Medicine?
Yes, JACKSON PRIMARY CARE LLC is a Family Medicine.
Is JACKSON PRIMARY CARE LLC still practicing?
Yes, JACKSON PRIMARY CARE LLC is currently practicing.
Is JACKSON PRIMARY CARE LLC accepting new patients?
JACKSON PRIMARY CARE LLC may be accepting new patients. Please call their office at (573) 204-1400 to inquire about availability.
Is NPI 1619961380 still active?
Yes, NPI 1619961380 is currently active.
Where does JACKSON PRIMARY CARE LLC practice?
JACKSON PRIMARY CARE LLC practices in JACKSON, MO.