Maycock, Whitnee Amaris

Maycock, Whitnee Amaris is an individual health care provider with primary practice located at 902 Wollard Blvd , Richmond MO 64085-2229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Maycock, Whitnee Amaris can be contacted via phone (816) 776-2201.

Contact Information

Primary practice address
902 Wollard Blvd Richmond MO 64085-2229
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2021010682 Missouri

Profile Details

NPI number 1104321603
LBN Legal business name Maycock, Whitnee Amaris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2018
Last updated Jul 6th, 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 1104321603 NPPES
Missouri MEDICAID 2021010682

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