Alcindor, David A

Alcindor, David A is an individual health care provider with primary practice located at 57950 Leavenworth St 22 Mdg Sgq, Mcconnell Afb KS 67221-3506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Alcindor, David A can be contacted via phone (316) 759-5864.

Contact Information

Primary practice address
57950 Leavenworth St 22 Mdg Sgq Mcconnell Afb KS 67221-3506
Phone: (316) 759-5864
Fax: (316) 759-5038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-30794 Kansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0430794 Kansas

Profile Details

NPI number 1609863000
LBN Legal business name Alcindor, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Oct 21st, 2009 - about 15 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 1609863000 NPPES
Kansas Other 1609863000 BCBS
Kansas MEDICAID 200307830D BCBS

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