Bendorf, Rick D

Bendorf, Rick D is an individual health care provider with primary practice located at 250 Ne Mulberry St C/O Sjs Medical Management, Lees Summit MO 64086-4533. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bendorf, Rick D can be contacted via phone (816) 389-4130.

Contact Information

Primary practice address
250 Ne Mulberry St C/O Sjs Medical Management Lees Summit MO 64086-4533
Phone: (816) 389-4130
Fax: (816) 389-4140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 086951 Missouri

Profile Details

NPI number 1346299393
LBN Legal business name Bendorf, Rick D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Aug 16th, 2022 - about 2 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 1346299393 NPPES
Missouri MEDICAID 916815616
Missouri Other AANA

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