Dattel, Frederick Scott

Dattel, Frederick Scott is an sole proprietor health care provider with primary practice located at 1004 Carondelet Dr Suite 330, Kansas City MO 64114-4802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Dattel, Frederick Scott can be contacted via phone (816) 941-6400.

Contact Information

Primary practice address
1004 Carondelet Dr Suite 330 Kansas City MO 64114-4802
Phone: (816) 941-6400
Fax: (816) 941-6404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 100376 Missouri

Profile Details

NPI number 1912008525
LBN Legal business name Dattel, Frederick Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1912008525 NPPES
Kansas MEDICAID 100281970C
Kansas MEDICAID 208124610

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