Affolter, Jeremy T
Affolter, Jeremy T is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Affolter, Jeremy T can be contacted via phone (816) 234-3000.Contact Information
Primary practice address
2401 Gillham Rd
Kansas City MO 64108-4619
Phone: (816) 234-3000
Fax: (816) 302-9939
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M7810 | Texas |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 56007 | Wisconsin |
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 56007 | Wisconsin |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 2015010977 | Missouri |
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 2015010977 | Missouri |
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 0438091 | Kansas |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 0438091 | Kansas |
Profile Details
NPI number | 1952516429 |
---|---|
LBN Legal business name | Affolter, Jeremy T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2007 |
Last updated | Oct 21st, 2015 - about 9 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 | 1952516429 | NPPES |
Texas | Other | 8AL508 | BCBS |
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