Georger, Glen

Georger, Glen is an individual health care provider with primary practice located at 904 Wollard Blvd , Richmond MO 64085-2229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Georger, Glen can be contacted via phone (816) 470-5432.

Contact Information

Primary practice address
904 Wollard Blvd Richmond MO 64085-2229
Phone: (816) 470-5432
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 108171 Missouri

Profile Details

NPI number 1578676565
LBN Legal business name Georger, Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 20th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578676565 NPPES
Kansas MEDICAID 100344120B
Kansas Other 25663033
Kansas Other 930079462
Kansas MEDICAID 100344120D
Kansas MEDICAID 100344120A
Kansas MEDICAID 100344120C
Kansas MEDICAID 208516211

Popular Providers