Lasak, John Martin

Lasak, John Martin is an individual health care provider with primary practice located at 9350 E Central Ave , Wichita KS 67206-2555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Lasak, John Martin can be contacted via phone (316) 686-6608.

Contact Information

Primary practice address
9350 E Central Ave Wichita KS 67206-2555
Phone: (316) 686-6608
Fax: (316) 686-3624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 04-29030 Kansas

Profile Details

NPI number 1710989082
LBN Legal business name Lasak, John Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Nov 23rd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710989082 NPPES
Kansas Other 412510 FIRSTGAURD
Kansas Other 9633 FIRSTGAURD
Kansas Other 040016259 FIRSTGAURD
Kansas MEDICAID 100396360A FIRSTGAURD
Kansas Other 100888 FIRSTGAURD
Kansas Other 48118525067206A003 FIRSTGAURD

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