Detwiler, Sam Allen
Detwiler, Sam Allen is an individual health care provider with primary practice located at 3901 Rainbow Blvd # Ms 2027 , Kansas City KS 66160-0006. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Detwiler, Sam Allen can be contacted via phone (913) 588-3974.Contact Information
Primary practice address
3901 Rainbow Blvd # Ms 2027
Kansas City KS 66160-0006
Phone: (913) 588-3974
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT8023 | Texas |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 94-11926 | Kansas |
Profile Details
| NPI number | 1871025767 |
|---|---|
| LBN Legal business name | Detwiler, Sam Allen |
| Credentials | MD, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2017 |
| Last updated | Jun 13th, 2024 - about 2 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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