Van Ross, Syreeta Lynn

Van Ross, Syreeta Lynn is an sole proprietor health care provider with primary practice located at 1000 Carondelet Dr Ste 100 , Kansas City MO 64114-4673. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Contractor, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Van Ross, Syreeta Lynn can be contacted via phone (816) 941-9030.

Contact Information

Primary practice address
1000 Carondelet Dr Ste 100 Kansas City MO 64114-4673
Phone: (816) 941-9030
Fax: (816) 941-4416
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 200380880A Kansas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 77550-072 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2015039584 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2015039584 Missouri

Profile Details

NPI number 1063539823
LBN Legal business name Van Ross, Syreeta Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2007
Last updated Feb 16th, 2022 - about 4 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 1063539823 NPPES
Kansas MEDICAID 200380880A

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