National Provider Identifier Database

SAINT LUKES RADIATION THERAPY LIBERTY LLC
Oncology, Radiation


Contact Information

SAINT LUKES RADIATION THERAPY-LIBERTY LLC
2529 GLENN HENDREN DR
SUITE G40
LIBERTY, MO64068-9606
Phone: 816-251-5630
Fax:
Website:
Specialty Taxonomy Code
* Oncology, Radiation 261QX0203X

* Indicates primary specialty

NPI Profile & details for SAINT LUKES RADIATION THERAPY-LIBERTY LLC

NPI Number 1912381005
Legal business name
LBN
SAINT LUKES RADIATION THERAPY-LIBERTY LLC
Authorized official AMY NACHTIGAL - (CFO)
Entity Organization
Organization subpart No
Enumeration date 07/17/2015
Last updated 08/30/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 4885
  • MO Medicaid: 1912381005
  • MO Other: P01685370 RAILROAD MEDICARE

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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