Spertus, John A

Spertus, John A is an individual health care provider with primary practice located at 4320 Wornall Rd Suite 65, Kansas City MO 64111-5941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Spertus, John A can be contacted via phone (816) 932-6100.

Contact Information

Primary practice address
4320 Wornall Rd Suite 65 Kansas City MO 64111-5941
Phone: (816) 932-6100
Fax: (816) 461-6586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 111506 Missouri

Profile Details

NPI number 1982603973
LBN Legal business name Spertus, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Nov 16th, 2017 - about 9 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 1982603973 NPPES
Missouri MEDICAID 208478313
Missouri MEDICAID 100192820B

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