Abay, Eustaquio O

Abay, Eustaquio O is an sole proprietor health care provider with primary practice located at 3305 E Douglas Ave Suite 101, Wichita KS 67218-1037. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Abay, Eustaquio O can be contacted via phone (316) 425-0005.

Contact Information

Primary practice address
3305 E Douglas Ave Suite 101 Wichita KS 67218-1037
Phone: (316) 425-0005
Fax: (316) 425-0007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0421083 Kansas
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 04-21083 Kansas

Profile Details

NPI number 1013949338
LBN Legal business name Abay, Eustaquio O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Apr 9th, 2012 - about 12 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 1013949338 NPPES
Kansas MEDICAID 100204380C

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