National Provider Identifier Database

32ND STREET SURGERY CENTER LLC
Ambulatory Surgical


Contact Information

32ND STREET SURGERY CENTER, LLC
1531 E 32ND STREET
SUITE 6
JOPLIN, MO64804-2925
Phone: 417-627-9699
Fax: 417-627-9602
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for 32ND STREET SURGERY CENTER, LLC

NPI Number 1962676304
Legal business name
LBN
32ND STREET SURGERY CENTER, LLC
Authorized official JEFFREY SNODGRASS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/16/2008
Last updated 05/10/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 247-0
  • KS Medicaid: 200588590A

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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