Bahruth, Virginia

Bahruth, Virginia is an individual health care provider with primary practice located at 510 W Radio Ln , Arkansas City KS 67005-4011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bahruth, Virginia can be contacted via phone (620) 442-2100.

Contact Information

Primary practice address
510 W Radio Ln Arkansas City KS 67005-4011
Phone: (620) 442-2100
Fax: (620) 442-8945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 15-00410 Kansas

Profile Details

NPI number 1841259587
LBN Legal business name Bahruth, Virginia
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 22nd, 2011 - about 15 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 1841259587 NPPES
Kansas MEDICAID 100643760A

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