Gates, Lancer Gentry

Gates, Lancer Gentry is an individual health care provider with primary practice located at 2750 Clay Edwards Dr Ste 200A , North Kansas City MO 64116-3237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gates, Lancer Gentry can be contacted via phone (816) 968-9320.

Contact Information

Primary practice address
2750 Clay Edwards Dr Ste 200A North Kansas City MO 64116-3237
Phone: (816) 968-9320
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2000174342 Missouri

Profile Details

NPI number 1083611941
LBN Legal business name Gates, Lancer Gentry
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Nov 5th, 2007 - about 19 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 1083611941 NPPES
Missouri MEDICAID 245309117
Missouri Other 28043027
Missouri MEDICAID 200304460A
Missouri Other 5400729

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