Kiburz, Douglas W
Kiburz, Douglas W is an individual health care provider with primary practice located at 2301 S Ingram Ave , Sedalia MO 65301-8121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kiburz, Douglas W can be contacted via phone (660) 826-5890.Contact Information
Primary practice address
2301 S Ingram Ave
Sedalia MO 65301-8121
Phone: (660) 826-5890
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | R5F84 | Missouri |
Profile Details
| NPI number | 1487623260 |
|---|---|
| LBN Legal business name | Kiburz, Douglas W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Mar 15th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487623260 | NPPES |
| Missouri | MEDICAID | 509999207 |
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