J Anthony Woltjen, Md, Pc

LBN: J Anthony Woltjen, Md, Pc
J Anthony Woltjen, Md, Pc is an health care organization with primary practice located at 100 Nw Mock Ave Suite 101, Blue Springs MO 64014-2501. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. J Anthony Woltjen, Md, Pc can be contacted via phone (816) 220-9080, or through Woltjen, John Anthony via phone (816) 220-9080.

Contact Information

Primary practice address
100 Nw Mock Ave Suite 101 Blue Springs MO 64014-2501
Fax: (816) 220-9010
Website:
Authorized official contact:
Name: Woltjen, John Anthony Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R4B13 Missouri

Profile Details

NPI number 1720355159
LBN Legal business name J Anthony Woltjen, Md, Pc
DBA Doing business as
Authorized official Woltjen, John Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2011
Last updated Nov 30th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720355159 NPPES
Other 0008617 PTAN

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