Pate, Glen C

Pate, Glen C is an individual health care provider with primary practice located at 9401 N Oak Trfy Ste 200, Kansas City MO 64155-2233. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pate, Glen C can be contacted via phone (816) 478-1230.

Contact Information

Primary practice address
9401 N Oak Trfy Ste 200 Kansas City MO 64155-2233
Fax: (816) 478-4413
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2004017580 Missouri

Profile Details

NPI number 1912990276
LBN Legal business name Pate, Glen C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Dec 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912990276 NPPES
Other P00167226 RAILROAD MEDICARE

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