Gummelt, William L.

Gummelt, William L. is an individual health care provider with primary practice located at 5325 Faraon St , Saint Joseph MO 64506-3488. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gummelt, William L. can be contacted via phone (816) 271-6122.

Contact Information

Primary practice address
5325 Faraon St Saint Joseph MO 64506-3488
Fax: (816) 271-6019
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 112084 Missouri

Profile Details

NPI number 1285670281
LBN Legal business name Gummelt, William L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 7th, 2023 - about last year

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 1285670281 NPPES
Missouri MEDICAID 208593905

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