Sturtevant, Gary T.

Sturtevant, Gary T. is an individual health care provider with primary practice located at 1102 W 32Nd St , Joplin MO 64804-3503. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Sturtevant, Gary T. can be contacted via phone (417) 347-1078.

Contact Information

Primary practice address
1102 W 32Nd St Joplin MO 64804-3503
Phone: (417) 347-1078
Fax: (417) 347-1079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 139645 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2011004383 Missouri

Profile Details

NPI number 1649314204
LBN Legal business name Sturtevant, Gary T.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 21st, 2022 - about 2 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 1649314204 NPPES
Missouri MEDICAID 429043912

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