Hathaway, David

Hathaway, David is an individual health care provider with primary practice located at 7410 Wornall Rd , Kansas City MO 64114-1540. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric, which is considered as his primary health care specialty. Hathaway, David can be contacted via phone (800) 471-8592.

Contact Information

Primary practice address
7410 Wornall Rd Kansas City MO 64114-1540
Phone: (800) 471-8592
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric 211D00000X 2899 Missouri

Profile Details

NPI number 1477730083
LBN Legal business name Hathaway, David
Credentials CPED
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2008
Last updated Jan 25th, 2008 - about 16 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 1477730083 NPPES
Delaware Other 2899 BOARD PEDORTHICS

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