Wine Chase, George M

Wine Chase, George M is an sole proprietor health care provider with primary practice located at 9233 Ward Pkwy Suite 305, Kansas City MO 64114-3366. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wine Chase, George M can be contacted via phone (816) 824-9898.

Contact Information

Primary practice address
9233 Ward Pkwy Suite 305 Kansas City MO 64114-3366
Phone: (816) 824-9898
Fax: (816) 527-8052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2669 Missouri

Profile Details

NPI number 1598732273
LBN Legal business name Wine Chase, George M
Credentials M.DIV., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Nov 2nd, 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 1598732273 NPPES
Missouri Other 27215019 BCBS PROVIDER #
Missouri Other WINE CHASE BCBS PROVIDER #
Missouri Other 48-1180532 BCBS PROVIDER #
Missouri Other 48118053264111B004 BCBS PROVIDER #
Missouri Other WINE CHASE BCBS PROVIDER #
Missouri Other WINE CHASE BCBS PROVIDER #
Missouri Other 569447 BCBS PROVIDER #
Missouri Other 7968347 BCBS PROVIDER #
Missouri Other 2322864 BCBS PROVIDER #

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