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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487625232 NPPES
Other 33205014 BCBS OF KC INDIVIDUAL #
Other P00134132 BCBS OF KC INDIVIDUAL #

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