Moncure, Michael
Moncure, Michael is an individual health care provider with primary practice located at 2301 Holmes St , Kansas City MO 64108-2640. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Moncure, Michael can be contacted via phone (816) 404-0099.Contact Information
Primary practice address
2301 Holmes St
Kansas City MO 64108-2640
Phone: (816) 404-0099
Fax: (816) 404-5381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 04-27877 | Kansas |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 04-27877 | Kansas |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 04-27877 | Kansas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2017020795 | Missouri |
Profile Details
| NPI number | 1700996824 |
|---|---|
| LBN Legal business name | Moncure, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Apr 10th, 2018 - about 6 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 | 1700996824 | NPPES |
| Kansas | MEDICAID | 100319010A | |
| Kansas | Other | 658020 | |
| Kansas | Other | 25175015 | |
| Kansas | MEDICAID | 203821400 |
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