Hendricks, Ada

Hendricks, Ada is an individual health care provider with primary practice located at 9300 E Gregory Blvd , Raytown MO 64133-6523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hendricks, Ada can be contacted via phone (866) 825-3227.

Contact Information

Primary practice address
9300 E Gregory Blvd Raytown MO 64133-6523
Phone: (866) 825-3227
Fax: (484) 450-2617
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 071604 Missouri

Profile Details

NPI number 1033300165
LBN Legal business name Hendricks, Ada
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Aug 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 1033300165 NPPES
Missouri Other 071604 LICENSE

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