Cantrell, Patricia R
Cantrell, Patricia R is an individual health care provider with primary practice located at 215 Se State Route 291 , Lees Summit MO 64063-2939. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cantrell, Patricia R can be contacted via phone (816) 246-7779.Contact Information
Primary practice address
215 Se State Route 291
Lees Summit MO 64063-2939
Phone: (816) 246-7779
Fax: (816) 246-7780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | MO2002031833 | Missouri |
Profile Details
| NPI number | 1205857505 |
|---|---|
| LBN Legal business name | Cantrell, Patricia R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 1st, 2008 - about 18 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 | 1205857505 | NPPES |
| Missouri | Other | 33865026 | BCBS |
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