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:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1306813571 | NPPES |
Kansas | MEDICAID | 100165590D |
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