National Provider Identifier Database

NORTHEAST EAST MISSOURI AREA AGENCY ON AGING
Voluntary or Charitable


Contact Information

NORTHEAST EAST MISSOURI AREA AGENCY ON AGING
815 N OSTEOPATHY
KIRKSVILLE, MO63501-1367
Phone: 660-665-4682
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for NORTHEAST EAST MISSOURI AREA AGENCY ON AGING

NPI Number 1205371606
Legal business name
LBN
NORTHEAST EAST MISSOURI AREA AGENCY ON AGING
Authorized official PAMELA WINDTBERG - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/21/2016
Last updated 12/21/2016 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: N00014395
  • MO Medicaid: 1962560730

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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