Melean, Jaime R

Melean, Jaime R is an sole proprietor health care provider with primary practice located at 1431 Bluffview St Ste 112, Wichita KS 67218-3039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Melean, Jaime R can be contacted via phone (316) 688-0321.

Contact Information

Primary practice address
1431 Bluffview St Ste 112 Wichita KS 67218-3039
Phone: (316) 688-0321
Fax: (316) 688-0728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0417617 Kansas

Profile Details

NPI number 1063419109
LBN Legal business name Melean, Jaime R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Jul 8th, 2007 - about 19 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 1063419109 NPPES
Kansas Other 000022 BCBS
Kansas Other 480940604 BCBS
Kansas MEDICAID 100092950A BCBS

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