Fugate, Madison Lane

Fugate, Madison Lane is an individual health care provider with primary practice located at 2861 Ne Independence Ave Ste 201 , Lees Summit MO 64064-2379. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fugate, Madison Lane can be contacted via phone (816) 525-2840.

Contact Information

Primary practice address
2861 Ne Independence Ave Ste 201 Lees Summit MO 64064-2379
Phone: (816) 525-2840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2021046816 Missouri

Profile Details

NPI number 1912574823
LBN Legal business name Fugate, Madison Lane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2021
Last updated Feb 2nd, 2022 - about 3 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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