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
Phone: (816) 271-8110
Fax: (816) 271-8104
Website:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184867855 | NPPES |
| Missouri | MEDICAID | 1184867855 | |
| Missouri | Other | P01230396 | |
| Missouri | Other | 201074980A |
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