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Contact Information

SEA A PC
201 W BROADWAY
BLDG 5 STE B
COLUMBIA, MO65203-3842
 Phone: 573-447-7477
 Fax: 573-777-3528
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
Indicates primary specialty

NPI Profile & details for SEA A PC · (Female)

NPI Number 1720401300
Status Active
Credentials
Entity Individual
Enumeration date 02/02/2014
Last updated 04/16/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 100814
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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