Bales, Mitzi M
Bales, Mitzi M is an individual health care provider with primary practice located at 3009 N Cypress Dr , Wichita KS 67226-4003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bales, Mitzi M can be contacted via phone (316) 274-9900.Contact Information
Primary practice address
3009 N Cypress Dr
Wichita KS 67226-4003
Phone: (316) 274-9900
Fax: (316) 687-3645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-26016 | Kansas |
Profile Details
| NPI number | 1346205788 |
|---|---|
| LBN Legal business name | Bales, Mitzi M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Apr 24th, 2015 - about 10 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 | 1346205788 | NPPES |
| Kansas | MEDICAID | 100282210C | |
| Kansas | Other | 003719194 |
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