Acosta-Dickson, Antonette Consuelo
Acosta-Dickson, Antonette Consuelo is an individual health care provider with primary practice located at 6450 N Chatham Ave , Kansas City MO 64151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Acosta-Dickson, Antonette Consuelo can be contacted via phone (816) 741-5542.Contact Information
Primary practice address
6450 N Chatham Ave
Kansas City MO 64151
Phone: (816) 741-5542
Fax: (816) 746-4262
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2003017244 | Missouri |
Profile Details
NPI number | 1487625232 |
---|---|
LBN Legal business name | Acosta-Dickson, Antonette Consuelo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2006 |
Last updated | Feb 20th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487625232 | NPPES |
Other | 33205014 | BCBS OF KC INDIVIDUAL # | |
Other | P00134132 | BCBS OF KC INDIVIDUAL # |
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