Cernich, Joseph Theodore

Cernich, Joseph Theodore is an individual health care provider with primary practice located at 3101 Broadway Blvd , Kansas City MO 64111-2659. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Cernich, Joseph Theodore can be contacted via phone (816) 960-8000.

Contact Information

Primary practice address
3101 Broadway Blvd Kansas City MO 64111-2659
Phone: (816) 960-8000
Fax: (816) 960-8046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2003000631 Missouri
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 2003000631 Missouri
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 04-29903 Kansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-29903 Kansas

Profile Details

NPI number 1568412377
LBN Legal business name Cernich, Joseph Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Feb 9th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568412377 NPPES
Missouri MEDICAID 209246305

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