Bacani, Oswaldo Cruz

Bacani, Oswaldo Cruz is an sole proprietor health care provider with primary practice located at 1525 Madison St Ste 3 , Fredonia KS 66736-1704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bacani, Oswaldo Cruz can be contacted via phone (620) 378-3700.

Contact Information

Primary practice address
1525 Madison St Ste 3 Fredonia KS 66736-1704
Phone: (620) 378-3700
Fax: (620) 378-3536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-17538 Kansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 04-17538 Kansas

Profile Details

NPI number 1467565879
LBN Legal business name Bacani, Oswaldo Cruz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Oct 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467565879 NPPES
Kansas Other 0000002897 BLUE CROSS BLUE SHIELD
Kansas MEDICAID 100087030-A BLUE CROSS BLUE SHIELD

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