Georger, Glen
Georger, Glen is an individual health care provider with primary practice located at 904 Wollard Blvd , Richmond MO 64085-2229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Georger, Glen can be contacted via phone (816) 470-5432.Contact Information
Primary practice address
904 Wollard Blvd
Richmond MO 64085-2229
Phone: (816) 470-5432
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 108171 | Missouri |
Profile Details
| NPI number | 1578676565 |
|---|---|
| LBN Legal business name | Georger, Glen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Mar 20th, 2019 - about 5 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 | 1578676565 | NPPES |
| Kansas | MEDICAID | 100344120B | |
| Kansas | Other | 25663033 | |
| Kansas | Other | 930079462 | |
| Kansas | MEDICAID | 100344120D | |
| Kansas | MEDICAID | 100344120A | |
| Kansas | MEDICAID | 100344120C | |
| Kansas | MEDICAID | 208516211 |
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