Scrafford, Jonathan David

Scrafford, Jonathan David is an sole proprietor health care provider with primary practice located at 1515 S Clifton Ave , Wichita KS 67218-2900. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Scrafford, Jonathan David can be contacted via phone (316) 636-1550.

Contact Information

Primary practice address
1515 S Clifton Ave Wichita KS 67218-2900
Phone: (316) 636-1550
Fax: (316) 636-1569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 04-39512 Kansas

Profile Details

NPI number 1639411325
LBN Legal business name Scrafford, Jonathan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2013
Last updated Jan 15th, 2019 - about 7 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 1639411325 NPPES
Kansas MEDICAID 201157750A

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