Ledom, Wesley Max
Ledom, Wesley Max is an sole proprietor health care provider with primary practice located at 7524 Eaton St , Prairie Village KS 66208-3610. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ledom, Wesley Max can be contacted via phone (913) 634-5199.Contact Information
Primary practice address
7524 Eaton St
Prairie Village KS 66208-3610
Phone: (913) 634-5199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 000290 | Missouri |
Profile Details
| NPI number | 1346374824 |
|---|---|
| LBN Legal business name | Ledom, Wesley Max |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Sep 23rd, 2009 - 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 | 1346374824 | NPPES |
| Missouri | MEDICAID | 493240121 |
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