Gates, George Davison

Gates, George Davison is an sole proprietor health care provider with primary practice located at 15901 E 43Rd St S , Independence MO 64055-5044. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as his primary health care specialty. Gates, George Davison can be contacted via phone (816) 373-4191.

Contact Information

Primary practice address
15901 E 43Rd St S Independence MO 64055-5044
Phone: (816) 373-4191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 2006007591 Missouri

Profile Details

NPI number 1265736573
LBN Legal business name Gates, George Davison
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2010
Last updated Dec 29th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265736573 NPPES
Missouri Other 2006007591 LCSW

Popular Providers