Odenheimer, Burtram J

Odenheimer, Burtram J is an individual health care provider with primary practice located at 3311 E Murdock St , Wichita KS 67208-3054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Odenheimer, Burtram J can be contacted via phone (316) 689-9137.

Contact Information

Primary practice address
3311 E Murdock St Wichita KS 67208-3054
Phone: (316) 689-9137
Fax: (316) 689-9659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 17051 Kansas

Profile Details

NPI number 1053348680
LBN Legal business name Odenheimer, Burtram J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 13th, 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 1053348680 NPPES
Kansas Other 001925 BCBS
Kansas Other 16913 BCBS
Kansas Other 12149473 BCBS
Kansas Other 690 BCBS
Kansas Other 200140 BCBS

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