Fanning, Martha Sue
Fanning, Martha Sue is an individual health care provider with primary practice located at 12300 Metcalf Ave , Overland Park KS 66213-1324. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Fanning, Martha Sue can be contacted via phone (913) 317-7485.Contact Information
Primary practice address
12300 Metcalf Ave
Overland Park KS 66213-1324
Phone: (913) 317-7485
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 04-26640 | Kansas |
Profile Details
| NPI number | 1073514733 |
|---|---|
| LBN Legal business name | Fanning, Martha Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Jun 29th, 2021 - about 3 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 | 1073514733 | NPPES |
| Kansas | MEDICAID | 100333210C | |
| Kansas | Other | 24548088 | |
| Kansas | Other | 01674018 | |
| Kansas | MEDICAID | 100333210E | |
| Kansas | Other | 24548068 | |
| Kansas | Other | P00278183 | |
| Kansas | MEDICAID | 208531038 | |
| Kansas | Other | 930072754 |
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