Gershon, Daniel E

Gershon, Daniel E is an individual health care provider with primary practice located at 1425 Nw Blue Pkwy , Lees Summit MO 64086-5705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gershon, Daniel E can be contacted via phone (816) 524-3223.

Contact Information

Primary practice address
1425 Nw Blue Pkwy Lees Summit MO 64086-5705
Fax: (816) 525-2697
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2004015153 Missouri

Profile Details

NPI number 1215929203
LBN Legal business name Gershon, Daniel E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jun 6th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215929203 NPPES
Missouri MEDICAID 209378207

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