Mcewen, Gary W
Mcewen, Gary W is an sole proprietor health care provider with primary practice located at 276 Ne Tudor Rd , Lee'S Summit MO 64086-5696. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mcewen, Gary W can be contacted via phone (816) 525-8500.Contact Information
Primary practice address
276 Ne Tudor Rd
Lee'S Summit MO 64086-5696
Phone: (816) 525-8500
Fax: (816) 525-0185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | R9N60 | Missouri |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | R9N30 | Missouri |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | R9N30 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | R9N30 | Missouri |
Profile Details
| NPI number | 1477554657 |
|---|---|
| LBN Legal business name | Mcewen, Gary W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Aug 22nd, 2008 - about 17 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 | 1477554657 | NPPES |
| Missouri | Other | P00412861 | RAILROAD PTAN |
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