Caudell, Desiree
Caudell, Desiree is an sole proprietor health care provider with primary practice located at 3223 N Oliver St , Wichita KS 67220-2106. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Caudell, Desiree can be contacted via phone (316) 267-5437.Contact Information
Primary practice address
3223 N Oliver St
Wichita KS 67220-2106
Phone: (316) 267-5437
Fax: (316) 267-3456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1265890248 |
|---|---|
| LBN Legal business name | Caudell, Desiree |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2016 |
| Last updated | Feb 4th, 2016 - about 9 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 | 1265890248 | NPPES |
| Kansas | MEDICAID | 1942649116 |
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