Mutisya, Eunice Minoo

Mutisya, Eunice Minoo is an sole proprietor health care provider with primary practice located at 9406 E 63Rd St , Raytown MO 64133-4904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mutisya, Eunice Minoo can be contacted via phone (816) 356-1000.

Contact Information

Primary practice address
9406 E 63Rd St Raytown MO 64133-4904
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2019024712 Missouri

Profile Details

NPI number 1275185407
LBN Legal business name Mutisya, Eunice Minoo
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2019
Last updated Nov 25th, 2020 - about 4 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 1275185407 NPPES
Missouri MEDICAID 420074076

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