Balfanz, Luise Augusta

Balfanz, Luise Augusta is an sole proprietor health care provider with primary practice located at 2700 Clay Edwards Dr Ste 240 , North Kansas City MO 64116-3254. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Balfanz, Luise Augusta can be contacted via phone (816) 691-2021.

Contact Information

Primary practice address
2700 Clay Edwards Dr Ste 240 North Kansas City MO 64116-3254
Phone: (816) 691-2021
Fax: (816) 346-7690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54943 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 098620 Missouri

Profile Details

NPI number 1386695005
LBN Legal business name Balfanz, Luise Augusta
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Dec 14th, 2019 - about 5 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 1386695005 NPPES
Kansas Other P00982348 RAILROAD MEDICARE PTAN
Kansas Other P01026702 RAILROAD MEDICARE PTAN
Kansas MEDICAID 915291215 RAILROAD MEDICARE PTAN
Kansas MEDICAID 100393220B RAILROAD MEDICARE PTAN

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