Fearon, Bruce E
Fearon, Bruce E is an individual health care provider with primary practice located at 3521 Ne Ralph Powell Rd Suite C, Lees Summit MO 64064-2360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fearon, Bruce E can be contacted via phone (816) 554-7546.Contact Information
Primary practice address
3521 Ne Ralph Powell Rd Suite C
Lees Summit MO 64064-2360
Phone: (816) 554-7546
Fax: (816) 554-9470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 102868 | Missouri |
Profile Details
| NPI number | 1689666059 |
|---|---|
| LBN Legal business name | Fearon, Bruce E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Aug 30th, 2022 - about 3 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 | 1689666059 | NPPES |
| Missouri | MEDICAID | 207707209 |
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