Blacker, Mitchell

Blacker, Mitchell is an sole proprietor health care provider with primary practice located at 11208 Quincy Ave , Kansas City MO 64137-2504. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blacker, Mitchell can be contacted via phone (816) 763-8400.

Contact Information

Primary practice address
11208 Quincy Ave Kansas City MO 64137-2504
Fax: (816) 765-8403
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13939 Missouri

Profile Details

NPI number 1497718969
LBN Legal business name Blacker, Mitchell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated May 27th, 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.

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