Dewolfe, Mark H

Dewolfe, Mark H is an individual health care provider with primary practice located at 5400 N Oak Trfy Suite 101, Kansas City MO 64118-4688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Dewolfe, Mark H can be contacted via phone (816) 454-1658.

Contact Information

Primary practice address
5400 N Oak Trfy Suite 101 Kansas City MO 64118-4688
Phone: (816) 454-1658
Fax: (816) 454-1734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X R3A25 Missouri
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 04-19790 Kansas

Profile Details

NPI number 1124021142
LBN Legal business name Dewolfe, Mark H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Dec 29th, 2016 - about 8 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 1124021142 NPPES
Missouri Other 13192 COVENTRY
Missouri Other 4340992 COVENTRY
Missouri Other 12440 COVENTRY
Missouri MEDICAID 2051670901 COVENTRY
Missouri MEDICAID 201787405 COVENTRY
Missouri Other 026295099 COVENTRY
Missouri Other 09468014 COVENTRY
Missouri Other 1001457701 COVENTRY
Missouri Other 497815 COVENTRY
Missouri Other 560391 COVENTRY
Missouri Other 3650047 COVENTRY
Missouri Other 480911591028 COVENTRY
Missouri Other 97759 COVENTRY

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