Fanning, John W

Fanning, John W is an individual health care provider with primary practice located at 9828 E Shannon Woods Cir # 100 , Wichita KS 67226-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Fanning, John W can be contacted via phone (316) 631-1600.

Contact Information

Primary practice address
9828 E Shannon Woods Cir # 100 Wichita KS 67226-4100
Phone: (316) 631-1600
Fax: (316) 631-1617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 04-22803 Kansas

Profile Details

NPI number 1306813571
LBN Legal business name Fanning, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Oct 18th, 2023 - about last year

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 1306813571 NPPES
Kansas MEDICAID 100165590D

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