Vivar Cruz, Pedro Wilfrido

Vivar Cruz, Pedro Wilfrido is an individual health care provider with primary practice located at 848 N St Francis St Ste 3949 , Wichita KS 67214-3859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Vivar Cruz, Pedro Wilfrido can be contacted via phone (316) 268-8500.

Contact Information

Primary practice address
848 N St Francis St Ste 3949 Wichita KS 67214-3859
Phone: (316) 268-8500
Fax: (316) 291-7993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 04-37802 Kansas

Profile Details

NPI number 1891007746
LBN Legal business name Vivar Cruz, Pedro Wilfrido
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2010
Last updated Oct 14th, 2021 - about 4 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 1891007746 NPPES
Kansas MEDICAID 201113500A

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