Busboom, Karla Elaine

Busboom, Karla Elaine is an individual health care provider with primary practice located at 1112 W 6Th St Ste 124, Lawrence KS 66044-2215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Busboom, Karla Elaine can be contacted via phone (785) 843-9125.

Contact Information

Primary practice address
1112 W 6Th St Ste 124 Lawrence KS 66044-2215
Phone: (785) 843-9125
Fax: (785) 843-6973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1396981049
LBN Legal business name Busboom, Karla Elaine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2008
Last updated Jun 26th, 2017 - about 9 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 1396981049 NPPES
Kansas MEDICAID 200597400A

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