Andersen, Michael

Andersen, Michael is an individual health care provider with primary practice located at 7900 Lees Summit Rd , Kansas City MO 64139-1236. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Andersen, Michael can be contacted via phone (816) 404-7000.

Contact Information

Primary practice address
7900 Lees Summit Rd Kansas City MO 64139-1236
Phone: (816) 404-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 12-00407 Kansas
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2012024470 Missouri

Profile Details

NPI number 1043565922
LBN Legal business name Andersen, Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Dec 9th, 2015 - about 10 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 1043565922 NPPES
Kansas MEDICAID 201116690A

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