Deiparine, Michael K.

Deiparine, Michael K. is an individual health care provider with primary practice located at 2521 Glenn Hendren Dr Suite 112, Liberty MO 64068-3388. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Deiparine, Michael K. can be contacted via phone (816) 781-5006.

Contact Information

Primary practice address
2521 Glenn Hendren Dr Suite 112 Liberty MO 64068-3388
Phone: (816) 781-5006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 108296 Missouri

Profile Details

NPI number 1720124191
LBN Legal business name Deiparine, Michael K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jun 24th, 2011 - about 13 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 1720124191 NPPES
Missouri MEDICAID 208014100

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