Born, Bob

Born, Bob is an individual health care provider with primary practice located at 1421 E 2Nd St N , Wichita KS 67214-4119. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Born, Bob can be contacted via phone (316) 303-0333.

Contact Information

Primary practice address
1421 E 2Nd St N Wichita KS 67214-4119
Phone: (316) 303-0333
Fax: (316) 847-7093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 14-78962-091 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 74595 Kansas

Profile Details

NPI number 1295775138
LBN Legal business name Born, Bob
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 17th, 2018 - about 8 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 1295775138 NPPES
Kansas Other 160849 BLUE CROSS BLUE SHIELD
Kansas Other 2144767 BLUE CROSS BLUE SHIELD
Kansas Other 500029366 BLUE CROSS BLUE SHIELD
Kansas Other 14563 BLUE CROSS BLUE SHIELD

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