Irick, Constance M
Irick, Constance M is an sole proprietor health care provider with primary practice located at 15270 W 119Th St , Olathe KS 66062-5604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Irick, Constance M can be contacted via phone (913) 829-8833.Contact Information
Primary practice address
15270 W 119Th St
Olathe KS 66062-5604
Phone: (913) 829-8833
Fax: (913) 768-4827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-22030 | Kansas |
Profile Details
| NPI number | 1346235272 |
|---|---|
| LBN Legal business name | Irick, Constance M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Feb 12th, 2010 - about 15 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 | 1346235272 | NPPES |
| Other | 13429045 | BCBSKC |
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