Boyack, Darren Amundsen
Boyack, Darren Amundsen is an individual health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Boyack, Darren Amundsen can be contacted via phone (913) 676-2214.Contact Information
Primary practice address
9100 W 74Th St
Shawnee Mission KS 66204-4004
Phone: (913) 676-2214
Fax: (913) 789-3106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0431179 | Kansas |
Profile Details
| NPI number | 1750374724 |
|---|---|
| LBN Legal business name | Boyack, Darren Amundsen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jun 29th, 2021 - about 5 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 | 1750374724 | NPPES |
| Kansas | MEDICAID | 200346760B | |
| Kansas | Other | P00263567 | |
| Kansas | Other | 01674018 | |
| Kansas | MEDICAID | 207449406 | |
| Kansas | MEDICAID | 200346760A | |
| Kansas | Other | 35924016 | |
| Kansas | Other | 35924036 | |
| Kansas | Other | P00291773 |
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