Provider Demographics
NPI:1427201037
Name:EM OLIVER INC
Entity Type:Organization
Organization Name:EM OLIVER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAZER
Authorized Official - Middle Name:OLIVER
Authorized Official - Last Name:SOGHRATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-914-6100
Mailing Address - Street 1:1607 E US HIGHWAY 136
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:MO
Mailing Address - Zip Code:64402-8223
Mailing Address - Country:US
Mailing Address - Phone:660-726-3974
Mailing Address - Fax:660-726-3851
Practice Address - Street 1:1607 E US HIGHWAY 136
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:MO
Practice Address - Zip Code:64402-8223
Practice Address - Country:US
Practice Address - Phone:660-726-3974
Practice Address - Fax:660-726-3851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty