Austin, George M

Austin, George M is an individual health care provider with primary practice located at 206 Nw Mock Ave Ste 200, Blue Springs MO 64014-2530. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Austin, George M can be contacted via phone (816) 224-8999.

Contact Information

Primary practice address
206 Nw Mock Ave Ste 200 Blue Springs MO 64014-2530
Fax: (816) 224-3121
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R8754 Missouri

Profile Details

NPI number 1336143296
LBN Legal business name Austin, George M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 14th, 2010 - about 14 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 1336143296 NPPES
Missouri Other 07414054 BLUE CROSS BLUE SHIELD
Missouri Other 340004705 BLUE CROSS BLUE SHIELD

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