Demoss, Eleanor Pascual
Demoss, Eleanor Pascual is an individual health care provider with primary practice located at 2318 E Central Ave , Wichita KS 67214-4436. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Demoss, Eleanor Pascual can be contacted via phone (316) 262-2415.Contact Information
Primary practice address
2318 E Central Ave
Wichita KS 67214-4436
Phone: (316) 262-2415
Fax: (316) 262-0318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 16984 | Kansas |
Profile Details
| NPI number | 1770574261 |
|---|---|
| LBN Legal business name | Demoss, Eleanor Pascual |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 16th, 2010 - about 16 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 | 1770574261 | NPPES |
| Kansas | MEDICAID | 100212200B |
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