Red Corn, Erica Jean
Red Corn, Erica Jean is an individual health care provider with primary practice located at 20930 W 151St St , Olathe KS 66061-7228. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Red Corn, Erica Jean can be contacted via phone (913) 782-2525.Contact Information
Primary practice address
20930 W 151St St
Olathe KS 66061-7228
Phone: (913) 782-2525
Fax: (913) 782-9307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 04-36800 | Kansas |
Profile Details
| NPI number | 1457672990 |
|---|---|
| LBN Legal business name | Red Corn, Erica Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2010 |
| Last updated | Feb 19th, 2021 - about 5 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 | 1457672990 | NPPES |
| Kansas | MEDICAID | 201082670A |
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