Bahruth, Virginia
Bahruth, Virginia is an individual health care provider with primary practice located at 510 W Radio Ln , Arkansas City KS 67005-4011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bahruth, Virginia can be contacted via phone (620) 442-2100.Contact Information
Primary practice address
510 W Radio Ln
Arkansas City KS 67005-4011
Phone: (620) 442-2100
Fax: (620) 442-8945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 15-00410 | Kansas |
Profile Details
| NPI number | 1841259587 |
|---|---|
| LBN Legal business name | Bahruth, Virginia |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jul 22nd, 2011 - about 13 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 | 1841259587 | NPPES |
| Kansas | MEDICAID | 100643760A |
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