Ford, Carmen Marie

Ford, Carmen Marie is an individual health care provider with primary practice located at 105 Far West Dr Heartland Pediatric And Adult Care Suite 100, Saint Joseph MO 64506-3514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ford, Carmen Marie can be contacted via phone (816) 271-8110.

Contact Information

Primary practice address
105 Far West Dr Heartland Pediatric And Adult Care Suite 100 Saint Joseph MO 64506-3514
Fax: (816) 271-8104
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2013013913 Missouri

Profile Details

NPI number 1184867855
LBN Legal business name Ford, Carmen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Apr 22nd, 2022 - about 2 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 1184867855 NPPES
Missouri MEDICAID 1184867855
Missouri Other P01230396
Missouri Other 201074980A

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