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Contact Information

HEARTLAND PODIATRY, P.C.
2406 RD MIZE RD STE B
INDEPENDENCE, MO64057
 Phone: 816-478-3338
 Fax: 816-373-0054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for HEARTLAND PODIATRY PC · (Female)

NPI # 1699795807
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2006
Last updated 11/16/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 000565
  • MO Other 24043025 BLUE SHIELD GROUP NUMBER
  • MO Other 368977203 MEDICAID GROUP NUMBER
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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