Judy, Bernard O

Judy, Bernard O is an individual health care provider with primary practice located at 373 W 101St Ter , Kansas City MO 64114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Judy, Bernard O can be contacted via phone (816) 942-8200.

Contact Information

Primary practice address
373 W 101St Ter Kansas City MO 64114
Phone: (816) 942-8200
Fax: (913) 495-3760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-18615 Kansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35687 Missouri

Profile Details

NPI number 1023009933
LBN Legal business name Judy, Bernard O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 9th, 2018 - about 8 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 1023009933 NPPES
Missouri MEDICAID 201260916
Missouri MEDICAID 200305490

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