Daves, Jeremy Michael

Daves, Jeremy Michael is an individual health care provider with primary practice located at 201 Nw R D Mize Rd Anesthesia Services Of Blue Springs/St. Mary'S Medical, Blue Springs MO 64014-2513. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Daves, Jeremy Michael can be contacted via phone (816) 988-8415.

Contact Information

Primary practice address
201 Nw R D Mize Rd Anesthesia Services Of Blue Springs/St. Mary'S Medical Blue Springs MO 64014-2513
Phone: (816) 988-8415
Fax: (816) 335-4003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2004031152 Missouri

Profile Details

NPI number 1063513612
LBN Legal business name Daves, Jeremy Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Mar 15th, 2013 - about 13 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 1063513612 NPPES
Missouri MEDICAID 911059301

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