Alcindor, David A
Alcindor, David A is an individual health care provider with primary practice located at 57950 Leavenworth St 22 Mdg Sgq, Mcconnell Afb KS 67221-3506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Alcindor, David A can be contacted via phone (316) 759-5864.Contact Information
Primary practice address
57950 Leavenworth St 22 Mdg Sgq
Mcconnell Afb KS 67221-3506
Phone: (316) 759-5864
Fax: (316) 759-5038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-30794 | Kansas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0430794 | Kansas |
Profile Details
| NPI number | 1609863000 |
|---|---|
| LBN Legal business name | Alcindor, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Oct 21st, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609863000 | NPPES |
| Kansas | Other | 1609863000 | BCBS |
| Kansas | MEDICAID | 200307830D | BCBS |
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