Nicklaus, Pamela
Nicklaus, Pamela is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as her primary health care specialty. Nicklaus, Pamela can be contacted via phone (816) 234-3000.Contact Information
Primary practice address
2401 Gillham Rd
Kansas City MO 64108-4619
Phone: (816) 234-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 117338 | Missouri |
Profile Details
| NPI number | 1154388197 |
|---|---|
| LBN Legal business name | Nicklaus, Pamela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1154388197 | NPPES |
| Kansas | MEDICAID | 100294700D | |
| Kansas | MEDICAID | 203803713 |
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