Advanced Mens Health, Llc

LBN: Advanced Mens Health, Llc
Advanced Mens Health, Llc is an health care organization with primary practice located at 3460 N Ridge Road #90 , Wichita KS 67205-1222. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Advanced Mens Health, Llc can be contacted via phone (316) 689-9185, or through Lyddane, Clay E via phone (316) 722-4725.

Contact Information

Primary practice address
3460 N Ridge Road #90 Wichita KS 67205-1222
Phone: (316) 689-9185
Fax: (316) 616-2095
Website:
Map and Directions
Authorized official contact:
Name: Lyddane, Clay E MD, PHD
Phone: (316) 722-4725

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0435145 Kansas

Profile Details

NPI number 1063873354
LBN Legal business name Advanced Mens Health, Llc
DBA Doing business as
Authorized official Lyddane, Clay E MD, PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2016
Last updated Mar 14th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063873354 NPPES
Kansas MEDICAID 200740730A

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