Hafer, Thomas Edward

Hafer, Thomas Edward is an individual health care provider with primary practice located at 17065 S 71 Highway , Belton MO 64012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hafer, Thomas Edward can be contacted via phone (816) 348-1200.

Contact Information

Primary practice address
17065 S 71 Highway Belton MO 64012
Phone: (816) 348-1200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 100308 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-29021 Kansas

Profile Details

NPI number 1205823887
LBN Legal business name Hafer, Thomas Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jan 29th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205823887 NPPES
Missouri MEDICAID 203379615
Missouri Other P00357734
Missouri Other 905660
Missouri MEDICAID 100453630 B
Missouri Other 4207454
Missouri MEDICAID 100453630C
Missouri Other 18213033

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