Miciano, Ruel T

Miciano, Ruel T is an individual health care provider with primary practice located at 702 Thunderbird Dr , Harrisonville MO 64701-1558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miciano, Ruel T can be contacted via phone (816) 380-4040.

Contact Information

Primary practice address
702 Thunderbird Dr Harrisonville MO 64701-1558
Phone: (816) 380-4040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33300 Missouri

Profile Details

NPI number 1871580654
LBN Legal business name Miciano, Ruel T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Feb 24th, 2015 - about 11 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 1871580654 NPPES
Missouri MEDICAID 599764206
Missouri Other 01249031

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