National Provider Identifier Database

JENNIFER A SAMPLE, MD – NPI #1912004342
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

JENNIFER A SAMPLE, MD
1104 PLATTE FALLS RD
PLATTE CITY, MO64079-7629
Phone: 816-665-1080
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Medical Toxicology 2080T0002X

* Indicates primary specialty

NPI Profile & details for JENNIFER A SAMPLE

NPI Number 1912004342
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 12/13/2019 - About 6 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 110981
  • KS Medicaid: 100347580A
  • MO Medicaid: 204705701
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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