Bisaha Smith, Mary Katherine

Bisaha Smith, Mary Katherine is an sole proprietor health care provider with primary practice located at 9209 W 110Th St Bldg 36 , Overland Park KS 66210-1401. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bisaha Smith, Mary Katherine can be contacted via phone (913) 648-8111.

Contact Information

Primary practice address
9209 W 110Th St Bldg 36 Overland Park KS 66210-1401
Fax: (913) 912-5870
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 04499 Kansas

Profile Details

NPI number 1497870786
LBN Legal business name Bisaha Smith, Mary Katherine
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jun 10th, 2014 - about 12 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 1497870786 NPPES
Other 5107103 AETNA
Other 13449020 AETNA

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