Garrett, Jonah Walker
Garrett, Jonah Walker is an individual health care provider with primary practice located at 100 Ne Saint Lukes Blvd , Lees Summit MO 64086-6000. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Garrett, Jonah Walker can be contacted via phone (816) 347-5097.Contact Information
Primary practice address
100 Ne Saint Lukes Blvd
Lees Summit MO 64086-6000
Phone: (816) 347-5097
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Missouri | |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2011018400 | Missouri |
Profile Details
| NPI number | 1093004665 |
|---|---|
| LBN Legal business name | Garrett, Jonah Walker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2011 |
| Last updated | Jun 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093004665 | NPPES |
| Missouri | Other | 52314013 | BCBS KC |
| Missouri | MEDICAID | 1093004665 | BCBS KC |
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