Wurtz, Mary M

Wurtz, Mary M is an individual health care provider with primary practice located at 4911 S Arrowhead Dr Suite 201, Independence MO 64055-7005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Wurtz, Mary M can be contacted via phone (816) 478-8113.

Contact Information

Primary practice address
4911 S Arrowhead Dr Suite 201 Independence MO 64055-7005
Fax: (816) 478-8108
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X R8G42 Missouri

Profile Details

NPI number 1922033018
LBN Legal business name Wurtz, Mary M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 20th, 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 1922033018 NPPES
Other 73428017 BCBS KANSAS CITY
MEDICAID 203414800 BCBS KANSAS CITY

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