Tran, Joanna M
Tran, Joanna M is an individual health care provider with primary practice located at 5500 E Kellogg Dr , Wichita KS 67218-1607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Tran, Joanna M can be contacted via phone (316) 685-2221.Contact Information
Primary practice address
5500 E Kellogg Dr
Wichita KS 67218-1607
Phone: (316) 685-2221
Fax: (316) 634-3065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 30108 | Kansas |
Profile Details
| NPI number | 1124037387 |
|---|---|
| LBN Legal business name | Tran, Joanna M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Feb 2nd, 2016 - about 10 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 | 1124037387 | NPPES |
| Kansas | MEDICAID | 100456070A | |
| Kansas | Other | 12149486 | |
| Kansas | Other | 103696 | |
| Kansas | Other | 6696 | |
| Kansas | Other | 165074 | |
| Kansas | Other | 102933 |
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