Canonical ID: us-medmo-c2dededceee9f42f2128005d65d37752c27f1fa7
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:country | us | us_mo_med_exclusions | us-medmo-c2dededceee9f42f2128005d65d37752c27f1fa7 | ||||
LegalEntity:description | License number: 115456 | us_mo_med_exclusions | us-medmo-c2dededceee9f42f2128005d65d37752c27f1fa7 | ||||
LegalEntity:id | 71f8dbcde94b06c32d85a9ff8e3270c47941bd3d | us_mo_med_exclusions | us-medmo-c2dededceee9f42f2128005d65d37752c27f1fa7 | ||||
LegalEntity:name | FALCONER, ERICK | us_mo_med_exclusions | us-medmo-c2dededceee9f42f2128005d65d37752c27f1fa7 | ||||
LegalEntity:npiCode | 1235182189 | us_mo_med_exclusions | us-medmo-c2dededceee9f42f2128005d65d37752c27f1fa7 | ||||
LegalEntity:sector | 20-PHYSICIAN | us_mo_med_exclusions | us-medmo-c2dededceee9f42f2128005d65d37752c27f1fa7 | ||||
LegalEntity:topics | debarment | us_mo_med_exclusions | us-medmo-c2dededceee9f42f2128005d65d37752c27f1fa7 |