Bronson, Wendell D
Bronson, Wendell D is an individual health care provider with primary practice located at 802 N Riverside Rd Suite 200, Saint Joseph MO 64507-2553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Bronson, Wendell D can be contacted via phone (816) 271-7979.Contact Information
Primary practice address
802 N Riverside Rd Suite 200
Saint Joseph MO 64507-2553
Phone: (816) 271-7979
Fax: (816) 271-7971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | R4J27 | Missouri |
Profile Details
| NPI number | 1205866688 |
|---|---|
| LBN Legal business name | Bronson, Wendell D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Sep 18th, 2017 - about 8 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 | 1205866688 | NPPES |
| Missouri | Other | 19482014 | BLUE SHIELD KC |
| Missouri | Other | 10001146000 | BLUE SHIELD KC |
| Missouri | MEDICAID | 243710209 | BLUE SHIELD KC |
| Missouri | Other | 4570541 | BLUE SHIELD KC |
| Missouri | MEDICAID | 100232910B | BLUE SHIELD KC |
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