Lane, Albert
Lane, Albert is an individual health care provider with primary practice located at 1115 N. Belt Highway , St. Joseph MO 64506-2410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lane, Albert can be contacted via phone (816) 271-7077.Contact Information
Primary practice address
1115 N. Belt Highway
St. Joseph MO 64506-2410
Phone: (816) 271-7077
Fax: (816) 271-0421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | RIF70 | Missouri |
Profile Details
| NPI number | 1619939774 |
|---|---|
| LBN Legal business name | Lane, Albert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Nov 16th, 2012 - about 13 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 | 1619939774 | NPPES |
| Missouri | MEDICAID | 1619939774 | |
| Missouri | MEDICAID | 200743250A |
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