Individual
DR. GREGORY W SENSENICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
861 FAIRWAY DR, CHILLICOTHE, MO 64601-3673
(660) 646-0000
(660) 646-5404
Mailing address
861 FAIRWAY DR, CHILLICOTHE, MO 64601-3673
(660) 646-0000
(660) 646-5404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8G84
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107198
BLUE CROSS BLUE SHIELD MO
MO
01
—
13396035
BLUE CROSS BLUE SHIELD KC
—
05
—
242414720
—
MO
Enumeration date
03/14/2006
Last updated
05/07/2024
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