Thomas, Thomas Cordell

Thomas, Thomas Cordell is an sole proprietor health care provider with primary practice located at 110 Westwoods Dr , Liberty MO 64068-1181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thomas, Thomas Cordell can be contacted via phone (816) 781-6127.

Contact Information

Primary practice address
110 Westwoods Dr Liberty MO 64068-1181
Phone: (816) 781-6127
Fax: (816) 792-2265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28478 Missouri

Profile Details

NPI number 1790787059
LBN Legal business name Thomas, Thomas Cordell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Oct 7th, 2010 - about 16 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 1790787059 NPPES
Missouri MEDICAID 205285901
Missouri Other 01832015

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