Dequan' Dr. Dequan'

LBN: Optimistic Wellness Llc
Dequan' Dr. Dequan' is an health care organization with primary practice located at 5119 Nw Kendall Ct , Topeka KS 66618-1269. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Brain Injury Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Technologists, Technicians & Other Technical Service Providers / Technician, Health Information, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Optimistic Wellness Llc can be contacted via phone (785) 817-1893, or through Haynes, Sheldon B via phone (785) 817-1893.

Contact Information

Primary practice address
5119 Nw Kendall Ct Topeka KS 66618-1269
Phone: (785) 817-1893
Fax: (785) 587-0009
Website:
Map and Directions
Authorized official contact:
Name: Haynes, Sheldon B Doctor of Medicine (MD)
Phone: (785) 817-1893

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2084P0301X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Technologists, Technicians & Other Technical Service Providers / Technician, Health Information 247000000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1043083413
LBN Legal business name Optimistic Wellness Llc
DBA Doing business as Dequan' Dr. Dequan'
Authorized official Haynes, Sheldon B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2023
Last updated Feb 20th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043083413 NPPES
Kansas Other KS-ASCX12N OLD LICENCE
Kansas Other BH5617545 OLD LICENCE
Kansas MEDICAID BH5617545 OLD LICENCE
Kansas MEDICAID KS04-64104 OLD LICENCE

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