Berenbom, Loren D

Berenbom, Loren D is an individual health care provider with primary practice located at 4000 Cambridge St Ste G600 , Kansas City KS 66160-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Berenbom, Loren D can be contacted via phone (913) 588-9600.

Contact Information

Primary practice address
4000 Cambridge St Ste G600 Kansas City KS 66160-0001
Phone: (913) 588-9600
Fax: (913) 588-9770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R8581 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 04-19762 Kansas
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X R8581 Missouri
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 04-19762 Kansas

Profile Details

NPI number 1215958574
LBN Legal business name Berenbom, Loren D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Dec 5th, 2018 - about 6 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 1215958574 NPPES
Other 10337013 BCBS KC
MEDICAID 100202580A BCBS KC
Other 051552 BCBS KC
MEDICAID 202205407 BCBS KC
MEDICAID 100202580B BCBS KC

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