Kantor, Jeff Lawrence
Kantor, Jeff Lawrence is an individual health care provider with primary practice located at 23 Sunnybrook Rd , Raleigh NC 27610-1855. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Kantor, Jeff Lawrence can be contacted via phone (919) 235-6435.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2006026942 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 2018-01805 | North Carolina |
Profile Details
| NPI number | 1003979063 |
|---|---|
| LBN Legal business name | Kantor, Jeff Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Mar 2nd, 2021 - about 5 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 | 1003979063 | NPPES |
| Missouri | MEDICAID | 204028302 | |
| Missouri | Other | 774420 |
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