Kantor, Jeff Lawrence

Kantor, Jeff Lawrence is an individual health care provider with primary practice located at 23 Sunnybrook Rd , Raleigh NC 27610-1855. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Kantor, Jeff Lawrence can be contacted via phone (919) 235-6435.

Contact Information

Primary practice address
23 Sunnybrook Rd Raleigh NC 27610-1855
Phone: (919) 235-6435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2006026942 Missouri
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 2018-01805 North Carolina

Profile Details

NPI number 1003979063
LBN Legal business name Kantor, Jeff Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 2nd, 2021 - about 3 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 1003979063 NPPES
Missouri MEDICAID 204028302
Missouri Other 774420

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