Hoerth, Debra A

Hoerth, Debra A is an individual health care provider with primary practice located at 120 Hospital Dr , Lebanon MO 65536-9238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hoerth, Debra A can be contacted via phone (417) 533-6100.

Contact Information

Primary practice address
120 Hospital Dr Lebanon MO 65536-9238
Phone: (417) 533-6100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 151783 Missouri

Profile Details

NPI number 1114918646
LBN Legal business name Hoerth, Debra A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Mar 29th, 2012 - about 12 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 1114918646 NPPES
Kansas Other P00398983 RR MEDICARE GROUP CQ2302
Kansas MEDICAID 100381010B RR MEDICARE GROUP CQ2302
Kansas Other 145411 RR MEDICARE GROUP CQ2302

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