Elson, Bruce C

Elson, Bruce C is an individual health care provider with primary practice located at 3600 E Harry St , Wichita KS 67218-3713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Elson, Bruce C can be contacted via phone (316) 689-5050.

Contact Information

Primary practice address
3600 E Harry St Wichita KS 67218-3713
Phone: (316) 689-5050
Fax: (316) 689-6192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 24492 Kansas

Profile Details

NPI number 1396772083
LBN Legal business name Elson, Bruce C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated May 16th, 2014 - about 11 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 1396772083 NPPES
Kansas MEDICAID 100142590A
Kansas Other 12149514
Kansas Other 200113
Kansas Other 2780
Kansas Other 16889
Kansas Other 045268

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