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Contact Information

MAPLE CREST OPEN MRI
840 W KANSAS AVENUE
STE A
LIBERTY, MO64068-2033
 Phone: 816-587-1818
 Fax: 816-505-5004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
Indicates primary specialty

NPI Profile & details for MAPLE CREST OPEN MRI · (Female)

NPI # 1861570020
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2006
Last updated 08/27/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO Other 34425017 BLUE CROSS BLUE SHIELD
  • MO Other P00152744 RAILROAD MEDICARE
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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