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
Phone: (620) 694-4194
Fax: (620) 694-2179
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528046869 | NPPES |
| Kansas | MEDICAID | 200263990C | |
| Kansas | MEDICAID | 200263990P |
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