Agustin, Johanna H

Agustin, Johanna H is an individual health care provider with primary practice located at 2101 N Waldron St , Hutchinson KS 67502-1197. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Agustin, Johanna H can be contacted via phone (620) 694-4194.

Contact Information

Primary practice address
2101 N Waldron St Hutchinson KS 67502-1197
Fax: (620) 694-2179
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 04-30666 Kansas

Profile Details

NPI number 1528046869
LBN Legal business name Agustin, Johanna H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Aug 19th, 2021 - about 3 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 1528046869 NPPES
Kansas MEDICAID 200263990C
Kansas MEDICAID 200263990P

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