Chase, William Martin

Chase, William Martin is an individual health care provider with primary practice located at 5721 W 119Th St , Overland Park KS 66209-3722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Chase, William Martin can be contacted via phone (913) 498-6623.

Contact Information

Primary practice address
5721 W 119Th St Overland Park KS 66209-3722
Phone: (913) 498-6623
Fax: (913) 498-6648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-25896 Kansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R6D10 Missouri

Profile Details

NPI number 1891799557
LBN Legal business name Chase, William Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Apr 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891799557 NPPES
Missouri MEDICAID 202351847
Missouri MEDICAID 100153560C
Missouri MEDICAID 100153560B

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