Hendrickson, Richard Joseph

Hendrickson, Richard Joseph is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Hendrickson, Richard Joseph can be contacted via phone (816) 983-6335.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (816) 983-6335
Fax: (816) 983-6885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 010026213 Missouri

Profile Details

NPI number 1306893300
LBN Legal business name Hendrickson, Richard Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated May 2nd, 2012 - 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 1306893300 NPPES
Ohio MEDICAID 2659083
Ohio MEDICAID 200820250
Ohio MEDICAID 200665680B
Ohio MEDICAID 1306893300

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