Cruce, William Glen

Cruce, William Glen is an individual health care provider with primary practice located at 6420 Prospect Ave Suite T 101, Kansas City MO 64132-4147. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Cruce, William Glen can be contacted via phone (816) 363-4100.

Contact Information

Primary practice address
6420 Prospect Ave Suite T 101 Kansas City MO 64132-4147
Phone: (816) 363-4100
Fax: (816) 363-1214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2008029034 Missouri
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 12-00395 Kansas

Profile Details

NPI number 1255506101
LBN Legal business name Cruce, William Glen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Dec 17th, 2013 - about 11 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 1255506101 NPPES
Missouri MEDICAID 1255506101
Missouri MEDICAID 200623740A

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