Crook, Diana R

Crook, Diana R is an individual health care provider with primary practice located at 8020 E Central Ave Suite 200, Wichita KS 67206-2360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Crook, Diana R can be contacted via phone (316) 636-2662.

Contact Information

Primary practice address
8020 E Central Ave Suite 200 Wichita KS 67206-2360
Phone: (316) 636-2662
Fax: (316) 636-2644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0423525 Kansas

Profile Details

NPI number 1679530760
LBN Legal business name Crook, Diana R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jan 14th, 2011 - about 14 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 1679530760 NPPES
Kansas MEDICAID 2050480301

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