Mulder, George Dale
Mulder, George Dale is an individual health care provider with primary practice located at 802 N Riverside Rd. Ste G50, Saint Joseph MO 64507-2553. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mulder, George Dale can be contacted via phone (816) 671-4888.Contact Information
Primary practice address
802 N Riverside Rd. Ste G50
Saint Joseph MO 64507-2553
Phone: (816) 671-4888
Fax: (816) 671-4890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R7297 | Missouri |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | R7297 | Missouri |
Profile Details
| NPI number | 1629007208 |
|---|---|
| LBN Legal business name | Mulder, George Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Feb 28th, 2011 - about 14 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 | 1629007208 | NPPES |
| Missouri | Other | 10001089301 | COMMUNITY HEALTH PLAN |
| Missouri | Other | P00208226 | COMMUNITY HEALTH PLAN |
| Missouri | MEDICAID | 100206190B | COMMUNITY HEALTH PLAN |
| Missouri | MEDICAID | 201022217 | COMMUNITY HEALTH PLAN |
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