Gates, Lancer Gentry
Gates, Lancer Gentry is an individual health care provider with primary practice located at 2750 Clay Edwards Dr Ste 200A , North Kansas City MO 64116-3237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gates, Lancer Gentry can be contacted via phone (816) 968-9320.Contact Information
Primary practice address
2750 Clay Edwards Dr Ste 200A
North Kansas City MO 64116-3237
Phone: (816) 968-9320
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2000174342 | Missouri |
Profile Details
NPI number | 1083611941 |
---|---|
LBN Legal business name | Gates, Lancer Gentry |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2005 |
Last updated | Nov 5th, 2007 - about 17 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 | 1083611941 | NPPES |
Missouri | MEDICAID | 245309117 | |
Missouri | Other | 28043027 | |
Missouri | MEDICAID | 200304460A | |
Missouri | Other | 5400729 |
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