Rivas-Gotz, Federico

Rivas-Gotz, Federico is an individual health care provider with primary practice located at 5514 Corporate Dr Ste 120 , Saint Joseph MO 64507-7754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rivas-Gotz, Federico can be contacted via phone (816) 271-1350.

Contact Information

Primary practice address
5514 Corporate Dr Ste 120 Saint Joseph MO 64507-7754
Phone: (816) 271-1350
Fax: (816) 271-1355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2002023849 Missouri

Profile Details

NPI number 1053354092
LBN Legal business name Rivas-Gotz, Federico
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 9th, 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 1053354092 NPPES
Missouri MEDICAID 205998503
Missouri MEDICAID 200598670A
Missouri Other P00752887

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